Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,704.00 / $5,691.00 / $19,276.00	Facility		$1,704.00	$5,691.00	$19,276.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $592.11 / $592.11 / $842.40	Facility	52	$592.11	$592.11	$842.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,232.00 / $5,720.00 / $24,141.00	Facility		$2,232.00	$5,720.00	$24,141.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,661.00 / $9,661.00 / $10,814.00	Facility		$9,661.00	$9,661.00	$10,814.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,184.22 / $2,065.67 / $9,147.00	Facility		$1,184.22	$2,065.67	$9,147.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $2,844.84 / $2,844.84 / $5,159.08	Facility	52	$2,844.84	$2,844.84	$5,159.08
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $355.61 / $355.61 / $644.89	Facility	AS	$355.61	$355.61	$644.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,578.00 / $5,687.00 / $38,731.00	Facility		$2,578.00	$5,687.00	$38,731.00