Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.57 / $247.99 / $8,500.00	Facility		$207.57	$247.99	$8,500.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $155.68 / $155.68 / $185.99	Facility	54	$155.68	$155.68	$185.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.33 / $262.83 / $325.77	Professional		$217.33	$262.83	$325.77
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $286.26 / $836.10 / $854.89	Professional	50	$286.26	$836.10	$854.89
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $155.68 / $185.99 / $197.12	Professional	54	$155.68	$185.99	$197.12
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $31.14 / $37.20 / $39.42	Professional	55	$31.14	$37.20	$39.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $400.43 / $478.02 / $562.38	Professional		$400.43	$478.02	$562.38
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $600.65 / $706.65 / $843.57	Professional	50	$600.65	$706.65	$843.57
BCBS Facility/Professional Professional Modifier 54 Low / Median / High Price $280.30 / $329.77 / $393.67	Professional	54	$280.30	$329.77	$393.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.42 / $392.10 / $638.16	Professional		$212.42	$392.10	$638.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $207.57 / $390.02 / $558.84	Facility		$207.57	$390.02	$558.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $269.25 / $440.59 / $674.55	Professional		$269.25	$440.59	$674.55
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $700.55 / $711.90 / $945.32	Professional	50	$700.55	$711.90	$945.32
United Facility/Professional Facility Modifier Low / Median / High Price $676.00 / $676.00 / $676.00	Facility		$676.00	$676.00	$676.00
United Facility/Professional Professional Modifier Low / Median / High Price $269.25 / $382.03 / $535.24	Professional		$269.25	$382.03	$535.24