Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,644.25 / $3,626.00 / $7,960.15	Facility		$1,644.25	$3,626.00	$7,960.15
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,497.00 / $7,171.50 / $12,670.50	Facility	50	$4,497.00	$7,171.50	$12,670.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $830.45 / $3,126.40 / $5,113.62	Facility		$830.45	$3,126.40	$5,113.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,941.68 / $4,941.68 / $4,941.68	Facility		$4,941.68	$4,941.68	$4,941.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,046.74 / $1,419.27 / $7,168.00	Facility		$1,046.74	$1,419.27	$7,168.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $12,667.47 / $12,667.47 / $12,667.47	Facility	50	$12,667.47	$12,667.47	$12,667.47
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $278.60 / $1,442.13 / $1,442.13	Facility	AS	$278.60	$1,442.13	$1,442.13
United Facility/Professional Facility Modifier Low / Median / High Price $4,613.00 / $6,477.00 / $9,010.00	Facility		$4,613.00	$6,477.00	$9,010.00