Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,248.00 / $4,833.00 / $16,400.00	Facility		$1,248.00	$4,833.00	$16,400.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $734.45 / $734.45 / $734.45	Facility	54	$734.45	$734.45	$734.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $860.91 / $979.25 / $979.26	Professional		$860.91	$979.25	$979.26
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $145.62 / $145.62 / $146.88	Professional	55	$145.62	$145.62	$146.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,759.89 / $5,982.69 / $9,520.62	Facility		$3,759.89	$5,982.69	$9,520.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $852.25 / $1,069.94 / $1,170.26	Professional		$852.25	$1,069.94	$1,170.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,266.68 / $1,266.68 / $1,266.68	Facility		$1,266.68	$1,266.68	$1,266.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $770.63 / $1,100.63 / $1,413.99	Professional		$770.63	$1,100.63	$1,413.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $886.00 / $1,822.00 / $6,887.55	Facility		$886.00	$1,822.00	$6,887.55
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $4,569.92 / $4,569.92 / $4,569.92	Facility	54	$4,569.92	$4,569.92	$4,569.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $759.94 / $919.57 / $1,922.26	Professional		$759.94	$919.57	$1,922.26
United Facility/Professional Facility Modifier Low / Median / High Price $884.00 / $2,900.00 / $5,543.93	Facility		$884.00	$2,900.00	$5,543.93
United Facility/Professional Professional Modifier Low / Median / High Price $740.27 / $903.20 / $1,202.94	Professional		$740.27	$903.20	$1,202.94