Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,127.91 / $4,610.00 / $9,706.00	Facility		$1,127.91	$4,610.00	$9,706.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $702.66 / $732.57 / $1,019.15	Facility	54	$702.66	$732.57	$1,019.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $738.41 / $933.82 / $1,571.88	Professional		$738.41	$933.82	$1,571.88
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $127.00 / $154.44 / $235.78	Professional	55	$127.00	$154.44	$235.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,415.00 / $3,931.00 / $8,800.00	Facility		$2,415.00	$3,931.00	$8,800.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $856.27 / $1,106.80 / $1,712.05	Professional		$856.27	$1,106.80	$1,712.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,146.00 / $1,272.16 / $1,677.34	Facility		$1,146.00	$1,272.16	$1,677.34
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $698.63 / $698.63 / $698.63	Facility	54	$698.63	$698.63	$698.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $805.21 / $1,151.69 / $1,877.89	Professional		$805.21	$1,151.69	$1,877.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,683.00 / $3,833.00 / $7,719.00	Facility		$1,683.00	$3,833.00	$7,719.00
United Facility/Professional Professional Modifier Low / Median / High Price $792.16 / $1,017.87 / $1,812.58	Professional		$792.16	$1,017.87	$1,812.58