Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $682.00 / $3,683.00 / $7,500.00	Facility		$682.00	$3,683.00	$7,500.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $96.31 / $96.31 / $109.13	Facility	54	$96.31	$96.31	$109.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.84 / $128.41 / $145.51	Professional		$113.84	$128.41	$145.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $884.01 / $1,404.36 / $2,218.87	Facility		$884.01	$1,404.36	$2,218.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.90 / $159.08 / $193.38	Professional		$120.90	$159.08	$193.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.21 / $163.21 / $163.21	Facility		$163.21	$163.21	$163.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.33 / $161.58 / $222.53	Professional		$109.33	$161.58	$222.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $128.41 / $170.09 / $940.92	Facility		$128.41	$170.09	$940.92
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $416.44 / $416.44 / $416.44	Facility	54	$416.44	$416.44	$416.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $119.93 / $155.82 / $1,086.00	Professional		$119.93	$155.82	$1,086.00
United Facility/Professional Facility Modifier Low / Median / High Price $139.00 / $610.00 / $1,883.00	Facility		$139.00	$610.00	$1,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $117.50 / $143.57 / $207.10	Professional		$117.50	$143.57	$207.10