Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $547.73 / $5,371.66 / $5,482.15	Facility		$547.73	$5,371.66	$5,482.15
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $109.55 / $109.55 / $109.55	Facility	53	$109.55	$109.55	$109.55
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $410.80 / $410.80 / $410.80	Facility	54	$410.80	$410.80	$410.80
Aetna Facility/Professional Facility Modifier 55 Low / Median / High Price $82.16 / $82.16 / $82.16	Facility	55	$82.16	$82.16	$82.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $515.95 / $598.63 / $1,012.20	Professional		$515.95	$598.63	$1,012.20
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,979.23 / $1,979.23 / $1,979.23	Professional	50	$1,979.23	$1,979.23	$1,979.23
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $273.87 / $288.63 / $288.63	Professional	52	$273.87	$288.63	$288.63
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $410.80 / $432.95 / $823.14	Professional	54	$410.80	$432.95	$823.14
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $0.32 / $82.16 / $93.38	Professional	55	$0.32	$82.16	$93.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,037.75 / $1,132.36 / $1,337.90	Professional		$1,037.75	$1,132.36	$1,337.90
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,556.63 / $1,698.56 / $2,006.85	Professional	50	$1,556.63	$1,698.56	$2,006.85
BCBS Facility/Professional Professional Modifier 54 Low / Median / High Price $726.43 / $792.66 / $936.53	Professional	54	$726.43	$792.66	$936.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $699.29 / $1,006.28 / $1,683.58	Professional		$699.29	$1,006.28	$1,683.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $547.73 / $1,077.64 / $2,517.50	Facility		$547.73	$1,077.64	$2,517.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $705.21 / $1,050.00 / $1,676.49	Professional		$705.21	$1,050.00	$1,676.49
Medica Facility/Professional Professional Modifier 54 Low / Median / High Price $823.25 / $841.96 / $853.36	Professional	54	$823.25	$841.96	$853.36
Medica Facility/Professional Professional Modifier 55 Low / Median / High Price $22.67 / $22.67 / $41.26	Professional	55	$22.67	$22.67	$41.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.00 / $3,328.00 / $5,025.00	Facility		$2,570.00	$3,328.00	$5,025.00
United Facility/Professional Professional Modifier Low / Median / High Price $654.15 / $993.93 / $1,292.69	Professional		$654.15	$993.93	$1,292.69