Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,131.00 / $6,870.00 / $13,151.00	Facility		$3,131.00	$6,870.00	$13,151.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $181.10 / $181.10 / $267.27	Facility	53	$181.10	$181.10	$267.27
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $679.12 / $679.12 / $1,002.30	Facility	54	$679.12	$679.12	$1,002.30
Aetna Facility/Professional Facility Modifier 55 Low / Median / High Price $135.82 / $135.82 / $200.46	Facility	55	$135.82	$135.82	$200.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $584.94 / $754.58 / $1,336.40	Professional		$584.94	$754.58	$1,336.40
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $110.98 / $113.19 / $200.46	Professional	55	$110.98	$113.19	$200.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,815.89 / $4,442.97 / $4,676.81	Facility		$3,815.89	$4,442.97	$4,676.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $864.16 / $1,016.66 / $1,016.66	Professional		$864.16	$1,016.66	$1,016.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $658.39 / $900.00 / $1,223.49	Professional		$658.39	$900.00	$1,223.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,336.40 / $8,280.00	Facility		$55.00	$1,336.40	$8,280.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $711.73 / $883.52 / $1,350.18	Professional		$711.73	$883.52	$1,350.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,433.00 / $4,960.00 / $11,732.00	Facility		$1,433.00	$4,960.00	$11,732.00
United Facility/Professional Professional Modifier Low / Median / High Price $703.43 / $849.63 / $1,182.74	Professional		$703.43	$849.63	$1,182.74