Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $3,742.00 / $12,600.00	Facility		$1,200.00	$3,742.00	$12,600.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $644.02 / $644.02 / $644.02	Facility	52	$644.02	$644.02	$644.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,125.71 / $1,275.89 / $1,290.17	Professional		$1,125.71	$1,275.89	$1,290.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,374.38 / $8,476.95 / $13,489.91	Facility		$5,374.38	$8,476.95	$13,489.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,228.84 / $1,536.77 / $1,687.39	Professional		$1,228.84	$1,536.77	$1,687.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,319.55 / $1,655.63 / $1,945.93	Professional		$1,319.55	$1,655.63	$1,945.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,190.26 / $1,839.65 / $6,889.15	Facility		$1,190.26	$1,839.65	$6,889.15
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $8,418.48 / $8,418.48 / $8,418.48	Facility	52	$8,418.48	$8,418.48	$8,418.48
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $1,052.31 / $1,052.31 / $1,052.31	Facility	AS	$1,052.31	$1,052.31	$1,052.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,146.68 / $1,424.71 / $9,294.87	Professional		$1,146.68	$1,424.71	$9,294.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,157.00 / $3,858.00 / $7,077.94	Facility		$1,157.00	$3,858.00	$7,077.94
United Facility/Professional Professional Modifier Low / Median / High Price $1,080.66 / $1,350.83 / $1,957.89	Professional		$1,080.66	$1,350.83	$1,957.89