Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $2,876.00 / $7,500.00	Facility		$625.00	$2,876.00	$7,500.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $64.22 / $64.22 / $95.97	Facility	52	$64.22	$64.22	$95.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.24 / $188.23 / $191.93	Professional		$126.24	$188.23	$191.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,652.24 / $4,192.02 / $6,674.72	Facility		$2,652.24	$4,192.02	$6,674.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.59 / $182.45 / $258.97	Professional		$130.59	$182.45	$258.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.14 / $185.93 / $260.77	Professional		$123.14	$185.93	$260.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $128.43 / $211.12 / $1,541.00	Facility		$128.43	$211.12	$1,541.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $421.46 / $421.46 / $421.46	Facility	52	$421.46	$421.46	$421.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $158.51 / $262.93 / $1,280.96	Professional		$158.51	$262.93	$1,280.96
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $610.00 / $1,883.00	Facility		$100.00	$610.00	$1,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $146.18 / $200.06 / $287.67	Professional		$146.18	$200.06	$287.67