Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.91 / $2,782.00 / $7,365.00	Facility		$144.91	$2,782.00	$7,365.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $76.84 / $77.27 / $95.60	Facility	54	$76.84	$77.27	$95.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.23 / $122.23 / $270.04	Professional		$102.23	$122.23	$270.04
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $77.27 / $92.17 / $146.06	Professional	54	$77.27	$92.17	$146.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $1,963.00 / $4,852.00	Facility		$821.00	$1,963.00	$4,852.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $132.79 / $203.31	Professional		$102.00	$132.79	$203.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.54 / $159.41 / $256.77	Professional		$123.54	$159.41	$256.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.47 / $166.27 / $469.00	Facility		$102.47	$166.27	$469.00
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $229.42 / $229.42 / $402.69	Facility	54	$229.42	$229.42	$402.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $117.61 / $178.42 / $931.20	Professional		$117.61	$178.42	$931.20
United Facility/Professional Facility Modifier Low / Median / High Price $245.00 / $815.00 / $1,351.00	Facility		$245.00	$815.00	$1,351.00
United Facility/Professional Professional Modifier Low / Median / High Price $110.31 / $150.19 / $255.83	Professional		$110.31	$150.19	$255.83