Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.33 / $803.00 / $2,812.00	Facility		$170.33	$803.00	$2,812.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $126.81 / $135.56 / $147.66	Facility	54	$126.81	$135.56	$147.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.55 / $162.22 / $230.33	Professional		$124.55	$162.22	$230.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $210.54 / $210.54 / $252.65	Facility		$210.54	$210.54	$252.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.35 / $208.26 / $237.92	Professional		$157.35	$208.26	$237.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $167.26 / $167.26 / $167.26	Facility		$167.26	$167.26	$167.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.80 / $229.75 / $276.95	Professional		$139.80	$229.75	$276.95
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $130.25 / $130.25 / $130.25	Professional		$130.25	$130.25	$130.25
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $328.00 / $768.00	Facility		$130.00	$328.00	$768.00
United Facility/Professional Professional Modifier Low / Median / High Price $141.96 / $184.63 / $308.91	Professional		$141.96	$184.63	$308.91