Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $5,144.00 / $12,154.00	Facility		$1,760.00	$5,144.00	$12,154.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $656.81 / $656.81 / $764.87	Facility	54	$656.81	$656.81	$764.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $634.37 / $945.21 / $1,307.26	Professional		$634.37	$945.21	$1,307.26
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $95.16 / $141.78 / $154.08	Professional	55	$95.16	$141.78	$154.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $4,247.00 / $9,663.00	Facility		$2,088.00	$4,247.00	$9,663.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $745.40 / $914.40 / $1,523.36	Professional		$745.40	$914.40	$1,523.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $591.00 / $591.00 / $4,165.25	Facility		$591.00	$591.00	$4,165.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $671.34 / $1,106.88 / $2,386.76	Professional		$671.34	$1,106.88	$2,386.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,346.98 / $13,771.73	Facility		$55.00	$2,346.98	$13,771.73
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,545.59 / $14,161.14 / $14,161.14	Facility	54	$1,545.59	$14,161.14	$14,161.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $819.98 / $1,106.30 / $3,678.54	Professional		$819.98	$1,106.30	$3,678.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,858.00 / $4,000.00 / $11,258.00	Facility		$1,858.00	$4,000.00	$11,258.00
United Facility/Professional Professional Modifier Low / Median / High Price $803.90 / $1,061.69 / $1,750.64	Professional		$803.90	$1,061.69	$1,750.64