Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.43 / $3,742.00 / $7,500.00	Facility		$896.43	$3,742.00	$7,500.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $672.32 / $672.32 / $672.32	Facility	54	$672.32	$672.32	$672.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $769.97 / $888.70 / $896.43	Professional		$769.97	$888.70	$896.43
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $127.21 / $133.31 / $134.46	Professional	55	$127.21	$133.31	$134.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.83 / $3,318.05 / $5,240.89	Facility		$2,097.83	$3,318.05	$5,240.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $763.70 / $990.19 / $1,048.67	Professional		$763.70	$990.19	$1,048.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,184.66 / $2,184.66 / $2,184.66	Facility		$2,184.66	$2,184.66	$2,184.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $605.87 / $905.22 / $1,129.00	Professional		$605.87	$905.22	$1,129.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $839.26 / $1,807.00 / $5,962.62	Facility		$839.26	$1,807.00	$5,962.62
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $7,881.75 / $7,881.75 / $7,881.75	Facility	54	$7,881.75	$7,881.75	$7,881.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $638.98 / $785.28 / $1,749.54	Professional		$638.98	$785.28	$1,749.54
United Facility/Professional Facility Modifier Low / Median / High Price $884.00 / $2,900.00 / $5,543.93	Facility		$884.00	$2,900.00	$5,543.93
United Facility/Professional Professional Modifier Low / Median / High Price $629.00 / $761.47 / $1,001.94	Professional		$629.00	$761.47	$1,001.94