Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.97 / $750.97 / $8,500.00	Facility		$750.97	$750.97	$8,500.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $563.23 / $563.23 / $563.23	Facility	54	$563.23	$563.23	$563.23
Aetna Facility/Professional Facility Modifier 55 Low / Median / High Price $112.65 / $112.65 / $112.65	Facility	55	$112.65	$112.65	$112.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $750.97 / $861.73 / $1,184.81	Professional		$750.97	$861.73	$1,184.81
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $563.23 / $592.28 / $592.28	Professional	54	$563.23	$592.28	$592.28
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $112.65 / $118.46 / $160.06	Professional	55	$112.65	$118.46	$160.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,421.19 / $1,551.22 / $1,832.78	Professional		$1,421.19	$1,551.22	$1,832.78
BCBS Facility/Professional Professional Modifier 54 Low / Median / High Price $994.83 / $1,085.84 / $1,282.95	Professional	54	$994.83	$1,085.84	$1,282.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $976.58 / $1,375.75 / $2,301.73	Professional		$976.58	$1,375.75	$2,301.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $750.97 / $1,263.94 / $2,252.91	Facility		$750.97	$1,263.94	$2,252.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $875.70 / $1,432.96 / $2,106.63	Professional		$875.70	$1,432.96	$2,106.63
Medica Facility/Professional Professional Modifier 54 Low / Median / High Price $1,126.16 / $1,141.17 / $1,148.69	Professional	54	$1,126.16	$1,141.17	$1,148.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.00 / $2,570.00 / $2,570.00	Facility		$2,570.00	$2,570.00	$2,570.00
United Facility/Professional Professional Modifier Low / Median / High Price $875.70 / $1,273.74 / $1,909.75	Professional		$875.70	$1,273.74	$1,909.75