Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $2,444.00 / $7,500.00	Facility		$625.00	$2,444.00	$7,500.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $34.60 / $34.60 / $192.05	Facility	53	$34.60	$34.60	$192.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.02 / $943.82 / $960.24	Professional		$170.02	$943.82	$960.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,624.83 / $2,532.94 / $3,985.93	Facility		$1,624.83	$2,532.94	$3,985.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.46 / $913.02 / $1,190.45	Professional		$186.46	$913.02	$1,190.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.47 / $248.77 / $1,253.68	Professional		$181.47	$248.77	$1,253.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $170.02 / $960.24 / $4,000.00	Facility		$170.02	$960.24	$4,000.00
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $135.34 / $135.34 / $135.34	Facility	53	$135.34	$135.34	$135.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $887.93 / $1,123.83 / $6,211.20	Professional		$887.93	$1,123.83	$6,211.20
United Facility/Professional Facility Modifier Low / Median / High Price $498.00 / $1,928.00 / $3,790.62	Facility		$498.00	$1,928.00	$3,790.62
United Facility/Professional Professional Modifier Low / Median / High Price $847.11 / $1,140.82 / $1,622.47	Professional		$847.11	$1,140.82	$1,622.47