Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,576.00 / $7,500.00	Facility		$625.00	$3,576.00	$7,500.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $57.05 / $57.05 / $223.81	Facility	52	$57.05	$57.05	$223.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.02 / $443.39 / $447.61	Professional		$113.02	$443.39	$447.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,162.16 / $1,836.86 / $2,924.73	Facility		$1,162.16	$1,836.86	$2,924.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $437.50 / $588.25 / $600.75	Professional		$437.50	$588.25	$600.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.91 / $443.37 / $661.20	Professional		$130.91	$443.37	$661.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.10 / $465.56 / $1,998.00	Facility		$114.10	$465.56	$1,998.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $388.74 / $388.74 / $388.74	Facility	52	$388.74	$388.74	$388.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $418.22 / $648.76 / $3,161.68	Professional		$418.22	$648.76	$3,161.68
United Facility/Professional Facility Modifier Low / Median / High Price $352.00 / $1,279.00 / $2,637.00	Facility		$352.00	$1,279.00	$2,637.00
United Facility/Professional Professional Modifier Low / Median / High Price $407.63 / $556.08 / $770.58	Professional		$407.63	$556.08	$770.58