Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $604.20 / $690.09 / $8,500.00	Facility		$604.20	$690.09	$8,500.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $453.15 / $453.15 / $517.57	Facility	54	$453.15	$453.15	$517.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $517.96 / $604.20 / $745.34	Professional		$517.96	$604.20	$745.34
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $453.15 / $517.57 / $559.01	Professional	54	$453.15	$517.57	$559.01
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $90.63 / $103.51 / $111.80	Professional	55	$90.63	$103.51	$111.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,181.57 / $1,355.81 / $1,595.07	Professional		$1,181.57	$1,355.81	$1,595.07
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,755.83 / $2,033.72 / $2,392.61	Professional	50	$1,755.83	$2,033.72	$2,392.61
BCBS Facility/Professional Professional Modifier 54 Low / Median / High Price $819.39 / $949.07 / $1,116.55	Professional	54	$819.39	$949.07	$1,116.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $536.83 / $1,163.23 / $1,877.68	Professional		$536.83	$1,163.23	$1,877.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $604.20 / $833.73 / $1,393.39	Facility		$604.20	$833.73	$1,393.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $630.45 / $1,226.16 / $1,804.93	Professional		$630.45	$1,226.16	$1,804.93
Medica Facility/Professional Professional Modifier 54 Low / Median / High Price $1,062.63 / $1,062.63 / $1,062.63	Professional	54	$1,062.63	$1,062.63	$1,062.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,123.00 / $1,123.00 / $1,123.00	Facility		$1,123.00	$1,123.00	$1,123.00
United Facility/Professional Professional Modifier Low / Median / High Price $630.45 / $1,123.15 / $1,624.04	Professional		$630.45	$1,123.15	$1,624.04