Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $236.80 / $302.13 / $8,500.00	Facility		$236.80	$302.13	$8,500.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $177.60 / $177.60 / $226.60	Facility	54	$177.60	$177.60	$226.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.86 / $268.18 / $377.20	Professional		$227.86	$268.18	$377.20
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $816.32 / $816.32 / $1,040.74	Professional	50	$816.32	$816.32	$1,040.74
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $177.60 / $226.60 / $242.15	Professional	54	$177.60	$226.60	$242.15
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $35.52 / $45.32 / $48.43	Professional	55	$35.52	$45.32	$48.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $459.61 / $579.28 / $681.50	Professional		$459.61	$579.28	$681.50
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $689.42 / $850.22 / $1,022.25	Professional	50	$689.42	$850.22	$1,022.25
BCBS Facility/Professional Professional Modifier 54 Low / Median / High Price $321.73 / $397.03 / $477.05	Professional	54	$321.73	$397.03	$477.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.98 / $497.87 / $765.61	Professional		$258.98	$497.87	$765.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $236.80 / $422.07 / $656.00	Facility		$236.80	$422.07	$656.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $326.49 / $534.26 / $965.75	Professional		$326.49	$534.26	$965.75
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 $306.39 / $472.98 / $710.36	Professional		$306.39	$472.98	$710.36