Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $738.00 / $1,070.00 / $2,812.00	Facility		$738.00	$1,070.00	$2,812.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $636.07 / $636.07 / $726.36	Facility	54	$636.07	$636.07	$726.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $633.88 / $699.91 / $1,140.23	Professional		$633.88	$699.91	$1,140.23
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $95.08 / $127.21 / $171.03	Professional	55	$95.08	$127.21	$171.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,063.64 / $4,063.64 / $4,876.37	Facility		$4,063.64	$4,063.64	$4,876.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $869.57 / $1,150.90 / $1,278.78	Professional		$869.57	$1,150.90	$1,278.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $454.85 / $454.85 / $454.85	Facility		$454.85	$454.85	$454.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $603.65 / $956.89 / $1,379.52	Professional		$603.65	$956.89	$1,379.52
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $1,404.90 / $1,404.90 / $1,404.90	Professional		$1,404.90	$1,404.90	$1,404.90
United Facility/Professional Facility Modifier Low / Median / High Price $980.00 / $1,650.00 / $4,064.00	Facility		$980.00	$1,650.00	$4,064.00
United Facility/Professional Professional Modifier Low / Median / High Price $653.45 / $807.78 / $1,422.34	Professional		$653.45	$807.78	$1,422.34