Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $311.00 / $2,309.46 / $5,691.00	Facility		$311.00	$2,309.46	$5,691.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $91.30 / $91.30 / $119.16	Facility	52	$91.30	$91.30	$119.16
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $36.52 / $36.52 / $47.67	Facility	53	$36.52	$36.52	$47.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $770.00 / $1,508.00 / $3,523.00	Facility		$770.00	$1,508.00	$3,523.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,213.00 / $2,769.00 / $4,641.00	Facility		$2,213.00	$2,769.00	$4,641.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $184.27 / $318.08 / $2,672.00	Facility		$184.27	$318.08	$2,672.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $400.87 / $3,716.72 / $3,716.72	Facility	52	$400.87	$3,716.72	$3,716.72
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $100.22 / $929.18 / $929.18	Facility	53	$100.22	$929.18	$929.18
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $313.18 / $2,903.69 / $2,903.69	Facility	62	$313.18	$2,903.69	$2,903.69
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $50.11 / $464.59 / $464.59	Facility	AS	$50.11	$464.59	$464.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,021.42 / $2,261.00 / $2,963.00	Facility		$1,021.42	$2,261.00	$2,963.00