Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $670.08 / $4,540.06 / $8,500.00	Facility		$670.08	$4,540.06	$8,500.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $134.02 / $134.02 / $134.02	Facility	53	$134.02	$134.02	$134.02
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $502.56 / $502.56 / $502.56	Facility	54	$502.56	$502.56	$502.56
Aetna Facility/Professional Facility Modifier 55 Low / Median / High Price $100.51 / $100.51 / $100.51	Facility	55	$100.51	$100.51	$100.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $570.53 / $670.08 / $727.07	Professional		$570.53	$670.08	$727.07
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $100.51 / $108.71 / $108.71	Professional	55	$100.51	$108.71	$108.71
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 $1,306.03 / $1,422.82 / $1,681.07	Professional		$1,306.03	$1,422.82	$1,681.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $820.17 / $1,264.78 / $2,116.08	Professional		$820.17	$1,264.78	$2,116.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $670.08 / $968.31 / $2,010.24	Facility		$670.08	$968.31	$2,010.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $767.53 / $1,255.95 / $1,827.95	Professional		$767.53	$1,255.95	$1,827.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,146.00 / $1,978.00 / $5,052.00	Facility		$1,146.00	$1,978.00	$5,052.00
United Facility/Professional Professional Modifier Low / Median / High Price $712.77 / $1,116.40 / $1,652.49	Professional		$712.77	$1,116.40	$1,652.49