Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,704.00 / $5,560.00 / $15,136.00	Facility		$1,704.00	$5,560.00	$15,136.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $678.75 / $678.75 / $964.00	Facility	52	$678.75	$678.75	$964.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $5,617.00 / $16,513.00	Facility		$2,088.00	$5,617.00	$16,513.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,814.00 / $10,814.00 / $10,814.00	Facility		$10,814.00	$10,814.00	$10,814.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,542.63 / $2,519.91 / $38,731.00	Facility		$1,542.63	$2,519.91	$38,731.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $3,251.39 / $3,251.39 / $38,006.16	Facility	52	$3,251.39	$3,251.39	$38,006.16
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $406.42 / $406.42 / $4,750.77	Facility	AS	$406.42	$406.42	$4,750.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,858.00 / $4,039.00 / $38,731.00	Facility		$1,858.00	$4,039.00	$38,731.00