Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $7,110.00 / $13,151.00	Facility		$1,760.00	$7,110.00	$13,151.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $405.29 / $405.29 / $487.89	Facility	52	$405.29	$405.29	$487.89
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $162.12 / $162.12 / $195.15	Facility	53	$162.12	$162.12	$195.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $4,279.00 / $9,663.00	Facility		$2,088.00	$4,279.00	$9,663.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22,968.00 / $27,391.00 / $34,239.00	Facility		$22,968.00	$27,391.00	$34,239.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,429.64 / $6,980.00	Facility		$55.00	$1,429.64	$6,980.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $1,497.65 / $2,769.66 / $2,769.66	Facility	52	$1,497.65	$2,769.66	$2,769.66
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $374.41 / $692.42 / $692.42	Facility	53	$374.41	$692.42	$692.42
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $1,170.04 / $2,163.80 / $2,163.80	Facility	62	$1,170.04	$2,163.80	$2,163.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,858.00 / $4,000.00 / $10,781.00	Facility		$1,858.00	$4,000.00	$10,781.00