Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $838.19 / $838.19 / $9,500.00	Facility		$838.19	$838.19	$9,500.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $628.64 / $628.64 / $628.64	Facility	54	$628.64	$628.64	$628.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $761.10 / $838.19 / $1,356.62	Professional		$761.10	$838.19	$1,356.62
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $125.73 / $135.68 / $135.68	Professional	55	$125.73	$135.68	$135.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,979.80 / $5,159.71 / $5,198.41	Facility		$4,979.80	$5,159.71	$5,198.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,630.93 / $1,779.93 / $2,103.00	Professional		$1,630.93	$1,779.93	$2,103.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,024.66 / $1,577.51 / $2,639.30	Professional		$1,024.66	$1,577.51	$2,639.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $838.19 / $1,208.42 / $2,514.57	Facility		$838.19	$1,208.42	$2,514.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $960.44 / $1,571.63 / $2,285.29	Professional		$960.44	$1,571.63	$2,285.29
United Facility/Professional Facility Modifier Low / Median / High Price $5,052.00 / $5,052.00 / $5,052.00	Facility		$5,052.00	$5,052.00	$5,052.00
United Facility/Professional Professional Modifier Low / Median / High Price $893.22 / $1,571.63 / $2,285.29	Professional		$893.22	$1,571.63	$2,285.29