Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $214.63 / $2,444.00 / $7,500.00	Facility		$214.63	$2,444.00	$7,500.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $110.93 / $110.93 / $126.78	Facility	54	$110.93	$110.93	$126.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.35 / $147.91 / $169.04	Professional		$123.35	$147.91	$169.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $897.89 / $1,404.36 / $2,202.66	Facility		$897.89	$1,404.36	$2,202.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.69 / $183.59 / $222.67	Professional		$139.69	$183.59	$222.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.30 / $177.30 / $177.30	Facility		$177.30	$177.30	$177.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.80 / $184.65 / $256.85	Professional		$139.80	$184.65	$256.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $145.66 / $198.63 / $940.92	Facility		$145.66	$198.63	$940.92
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $474.73 / $474.73 / $474.73	Facility	54	$474.73	$474.73	$474.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $135.28 / $176.97 / $1,264.80	Professional		$135.28	$176.97	$1,264.80
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 $134.83 / $165.17 / $241.77	Professional		$134.83	$165.17	$241.77