Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,392.00 / $4,928.00 / $16,400.00	Facility		$1,392.00	$4,928.00	$16,400.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,001.26 / $1,001.26 / $1,001.26	Facility	52	$1,001.26	$1,001.26	$1,001.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,132.98 / $14,509.07 / $22,924.17	Facility		$9,132.98	$14,509.07	$22,924.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $900.00 / $900.00	Facility		$900.00	$900.00	$900.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,893.16 / $2,747.53 / $18,958.34	Facility		$1,893.16	$2,747.53	$18,958.34
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $3,825.93 / $6,958.71 / $6,958.71	Facility	52	$3,825.93	$6,958.71	$6,958.71
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $478.24 / $869.84 / $869.84	Facility	AS	$478.24	$869.84	$869.84
United Facility/Professional Facility Modifier Low / Median / High Price $3,228.00 / $10,642.00 / $20,423.23	Facility		$3,228.00	$10,642.00	$20,423.23