Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $838.00 / $3,165.00 / $8,400.00	Facility		$838.00	$3,165.00	$8,400.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $84.74 / $84.74 / $372.61	Facility	52	$84.74	$84.74	$372.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.58 / $647.26 / $745.21	Professional		$166.58	$647.26	$745.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,595.49 / $2,521.77 / $4,015.27	Facility		$1,595.49	$2,521.77	$4,015.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.40 / $623.35 / $855.95	Professional		$183.40	$623.35	$855.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.16 / $262.86 / $954.25	Professional		$190.16	$262.86	$954.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $169.48 / $732.47 / $2,421.00	Facility		$169.48	$732.47	$2,421.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $530.45 / $530.45 / $530.45	Facility	52	$530.45	$530.45	$530.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $544.70 / $1,082.61 / $4,841.12	Professional		$544.70	$1,082.61	$4,841.12
United Facility/Professional Facility Modifier Low / Median / High Price $352.00 / $1,279.00 / $2,637.00	Facility		$352.00	$1,279.00	$2,637.00
United Facility/Professional Professional Modifier Low / Median / High Price $525.70 / $823.38 / $1,342.42	Professional		$525.70	$823.38	$1,342.42