Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $748.67 / $3,209.71 / $7,500.00	Facility		$748.67	$3,209.71	$7,500.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $487.76 / $487.76 / $561.50	Facility	54	$487.76	$487.76	$561.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.88 / $650.35 / $748.67	Professional		$602.88	$650.35	$748.67
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $483.56 / $534.72 / $561.50	Professional	54	$483.56	$534.72	$561.50
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $96.71 / $106.94 / $112.30	Professional	55	$96.71	$106.94	$112.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,103.39 / $6,529.28 / $10,390.44	Facility		$4,103.39	$6,529.28	$10,390.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $565.60 / $776.65 / $895.36	Professional		$565.60	$776.65	$895.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $517.36 / $517.36 / $517.36	Facility		$517.36	$517.36	$517.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $498.42 / $755.32 / $930.39	Professional		$498.42	$755.32	$930.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $612.97 / $902.64 / $3,910.00	Facility		$612.97	$902.64	$3,910.00
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,904.24 / $1,904.24 / $1,904.24	Facility	54	$1,904.24	$1,904.24	$1,904.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $560.40 / $699.84 / $4,491.92	Professional		$560.40	$699.84	$4,491.92
United Facility/Professional Facility Modifier Low / Median / High Price $498.00 / $1,760.00 / $3,790.62	Facility		$498.00	$1,760.00	$3,790.62
United Facility/Professional Professional Modifier Low / Median / High Price $554.04 / $672.86 / $875.63	Professional		$554.04	$672.86	$875.63