Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $797.15 / $6,284.00 / $12,174.00	Facility		$797.15	$6,284.00	$12,174.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $293.88 / $293.88 / $398.57	Facility	52	$293.88	$293.88	$398.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $4,247.00 / $9,663.00	Facility		$2,088.00	$4,247.00	$9,663.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,806.00 / $10,806.00 / $22,871.00	Facility		$10,806.00	$10,806.00	$22,871.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $617.15 / $1,222.54 / $26,542.00	Facility		$617.15	$1,222.54	$26,542.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $1,355.42 / $21,057.68 / $21,057.68	Facility	52	$1,355.42	$21,057.68	$21,057.68
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $169.43 / $2,632.21 / $2,632.21	Facility	AS	$169.43	$2,632.21	$2,632.21
United Facility/Professional Facility Modifier Low / Median / High Price $2,426.00 / $4,390.00 / $12,989.00	Facility		$2,426.00	$4,390.00	$12,989.00