Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,515.00 / $4,728.00 / $14,100.00	Facility		$1,515.00	$4,728.00	$14,100.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,588.83 / $13,547.08 / $21,483.29	Facility		$8,588.83	$13,547.08	$21,483.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,321.00 / $2,321.00 / $2,321.00	Facility		$2,321.00	$2,321.00	$2,321.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,668.24 / $2,474.00 / $10,617.00	Facility		$1,668.24	$2,474.00	$10,617.00
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $13,156.44 / $13,156.44 / $13,156.44	Facility	62	$13,156.44	$13,156.44	$13,156.44
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $2,105.03 / $2,105.03 / $2,105.03	Facility	AS	$2,105.03	$2,105.03	$2,105.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,851.00 / $7,074.00 / $14,139.00	Facility		$1,851.00	$7,074.00	$14,139.00