Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $313.12 / $568.79 / $695.00	Facility		$313.12	$568.79	$695.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $341.56 / $341.56 / $341.56	Facility	50	$341.56	$341.56	$341.56
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $234.84 / $234.84 / $250.81	Facility	54	$234.84	$234.84	$250.81
Aetna Facility/Professional Facility Modifier 55 Low / Median / High Price $46.97 / $46.97 / $50.16	Facility	55	$46.97	$46.97	$50.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.89 / $315.27 / $668.88	Professional		$257.89	$315.27	$668.88
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $989.54 / $1,022.84 / $1,022.84	Professional	50	$989.54	$1,022.84	$1,022.84
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $234.84 / $250.81 / $270.08	Professional	54	$234.84	$250.81	$270.08
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $46.97 / $50.16 / $54.02	Professional	55	$46.97	$50.16	$54.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $607.55 / $668.34 / $784.68	Professional		$607.55	$668.34	$784.68
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $891.71 / $999.17 / $1,177.02	Professional	50	$891.71	$999.17	$1,177.02
BCBS Facility/Professional Professional Modifier 54 Low / Median / High Price $416.13 / $466.89 / $549.28	Professional	54	$416.13	$466.89	$549.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.86 / $591.32 / $971.54	Professional		$279.86	$591.32	$971.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $313.12 / $442.47 / $670.49	Facility		$313.12	$442.47	$670.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $321.16 / $621.12 / $966.00	Professional		$321.16	$621.12	$966.00
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $642.32 / $967.21 / $1,620.84	Professional	50	$642.32	$967.21	$1,620.84
Medica Facility/Professional Professional Modifier 54 Low / Median / High Price $659.97 / $659.97 / $659.97	Professional	54	$659.97	$659.97	$659.97
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 $305.32 / $529.25 / $786.49	Professional		$305.32	$529.25	$786.49