Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.65 / $122.81 / $2,000.00	Facility		$120.65	$122.81	$2,000.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $90.49 / $90.49 / $92.11	Facility	54	$90.49	$90.49	$92.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.23 / $120.50 / $207.84	Professional		$102.23	$120.50	$207.84
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $82.16 / $90.92 / $94.78	Professional	54	$82.16	$90.92	$94.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $249.86 / $274.85 / $322.27	Professional		$249.86	$274.85	$322.27
BCBS Facility/Professional Professional Modifier 54 Low / Median / High Price $171.14 / $191.76 / $225.60	Professional	54	$171.14	$191.76	$225.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.72 / $281.30 / $416.00	Professional		$139.72	$281.30	$416.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $120.65 / $122.81 / $218.75	Facility		$120.65	$122.81	$218.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.23 / $231.55 / $928.72	Professional		$125.23	$231.55	$928.72
United Facility/Professional Professional Modifier Low / Median / High Price $125.23 / $224.87 / $275.51	Professional		$125.23	$224.87	$275.51