Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $1,831.00 / $2,825.00	Facility		$900.00	$1,831.00	$2,825.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $679.05 / $679.05 / $1,635.89	Facility	54	$679.05	$679.05	$1,635.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $738.41 / $860.91 / $2,181.19	Professional		$738.41	$860.91	$2,181.19
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $117.50 / $135.81 / $327.18	Professional	55	$117.50	$135.81	$327.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,316.54 / $1,316.54 / $1,316.54	Facility		$1,316.54	$1,316.54	$1,316.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,651.00 / $1,651.00 / $1,651.00	Professional		$1,651.00	$1,651.00	$1,651.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,256.23 / $1,388.79 / $3,047.67	Facility		$1,256.23	$1,388.79	$3,047.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $838.24 / $1,182.89 / $1,783.50	Professional		$838.24	$1,182.89	$1,783.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $700.00 / $2,062.00 / $6,150.00	Facility		$700.00	$2,062.00	$6,150.00
United Facility/Professional Professional Modifier Low / Median / High Price $786.54 / $1,017.87 / $1,942.79	Professional		$786.54	$1,017.87	$1,942.79