Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,006.75 / $4,376.00 / $12,600.00	Facility		$1,006.75	$4,376.00	$12,600.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,245.00 / $5,146.03 / $7,452.00	Facility	50	$1,245.00	$5,146.03	$7,452.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,166.25 / $5,555.00 / $19,875.09	Facility		$4,166.25	$5,555.00	$19,875.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $505.00 / $505.00 / $505.00	Facility		$505.00	$505.00	$505.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $497.01 / $1,200.00 / $26,542.00	Facility		$497.01	$1,200.00	$26,542.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $1,240.86 / $1,240.86 / $1,240.86	Facility	50	$1,240.86	$1,240.86	$1,240.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,967.00 / $4,960.00 / $11,732.00	Facility		$1,967.00	$4,960.00	$11,732.00