Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $2,876.00 / $7,500.00	Facility		$625.00	$2,876.00	$7,500.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $191.76 / $191.76 / $242.69	Facility	54	$191.76	$191.76	$242.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.47 / $304.18 / $323.58	Professional		$253.47	$304.18	$323.58
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $190.10 / $240.59 / $242.69	Professional	54	$190.10	$240.59	$242.69
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $38.02 / $48.12 / $48.54	Professional	55	$38.02	$48.12	$48.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $845.28 / $1,336.95 / $2,111.71	Facility		$845.28	$1,336.95	$2,111.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $221.90 / $304.70 / $387.84	Professional		$221.90	$304.70	$387.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.27 / $188.27 / $188.27	Facility		$188.27	$188.27	$188.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.92 / $329.05 / $561.64	Professional		$218.92	$329.05	$561.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $253.47 / $426.45 / $2,704.00	Facility		$253.47	$426.45	$2,704.00
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $740.71 / $740.71 / $740.71	Facility	54	$740.71	$740.71	$740.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $254.31 / $337.04 / $2,831.00	Professional		$254.31	$337.04	$2,831.00
United Facility/Professional Facility Modifier Low / Median / High Price $352.00 / $1,279.00 / $2,637.00	Facility		$352.00	$1,279.00	$2,637.00
United Facility/Professional Professional Modifier Low / Median / High Price $245.12 / $321.72 / $480.20	Professional		$245.12	$321.72	$480.20