Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $4,833.00 / $16,400.00	Facility		$1,200.00	$4,833.00	$16,400.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $697.17 / $697.17 / $697.17	Facility	54	$697.17	$697.17	$697.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $853.44 / $929.55 / $935.90	Professional		$853.44	$929.55	$935.90
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $138.22 / $138.22 / $140.38	Professional	55	$138.22	$138.22	$140.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,085.32 / $6,507.58 / $10,390.44	Facility		$4,085.32	$6,507.58	$10,390.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $810.60 / $1,017.65 / $1,113.07	Professional		$810.60	$1,017.65	$1,113.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,925.17 / $3,925.17 / $3,925.17	Facility		$3,925.17	$3,925.17	$3,925.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $786.00 / $1,106.53 / $1,438.17	Professional		$786.00	$1,106.53	$1,438.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $829.40 / $3,990.00 / $9,412.67	Facility		$829.40	$3,990.00	$9,412.67
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $14,161.14 / $14,161.14 / $14,161.14	Facility	54	$14,161.14	$14,161.14	$14,161.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $741.37 / $919.54 / $1,237.49	Professional		$741.37	$919.54	$1,237.49
United Facility/Professional Facility Modifier Low / Median / High Price $1,481.00 / $5,524.00 / $9,232.95	Facility		$1,481.00	$5,524.00	$9,232.95
United Facility/Professional Professional Modifier Low / Median / High Price $714.58 / $920.02 / $1,188.00	Professional		$714.58	$920.02	$1,188.00