Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.25 / $1,938.00 / $5,634.00	Facility		$147.25	$1,938.00	$5,634.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $91.34 / $95.35 / $143.06	Facility	54	$91.34	$95.35	$143.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.88 / $123.44 / $228.96	Professional		$102.88	$123.44	$228.96
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $82.16 / $93.62 / $146.01	Professional	54	$82.16	$93.62	$146.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $2,971.00 / $4,707.00	Facility		$1,529.00	$2,971.00	$4,707.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.98 / $146.79 / $245.37	Professional		$111.98	$146.79	$245.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.33 / $141.36 / $141.36	Facility		$120.33	$141.36	$141.36
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $94.65 / $94.65 / $94.65	Facility	54	$94.65	$94.65	$94.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.96 / $170.95 / $262.38	Professional		$120.96	$170.95	$262.38
United Facility/Professional Facility Modifier Low / Median / High Price $293.00 / $1,158.00 / $2,720.00	Facility		$293.00	$1,158.00	$2,720.00
United Facility/Professional Professional Modifier Low / Median / High Price $106.45 / $149.93 / $262.82	Professional		$106.45	$149.93	$262.82