Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,476.94 / $4,261.00 / $12,154.00	Facility		$1,476.94	$4,261.00	$12,154.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $562.80 / $562.80 / $738.47	Facility	52	$562.80	$562.80	$738.47
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $225.12 / $225.12 / $295.39	Facility	53	$225.12	$225.12	$295.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,234.00 / $4,319.00 / $10,043.00	Facility		$2,234.00	$4,319.00	$10,043.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,530.00 / $2,530.00 / $2,530.00	Facility		$2,530.00	$2,530.00	$2,530.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,088.30 / $1,603.52 / $3,500.00	Facility		$1,088.30	$1,603.52	$3,500.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $2,406.42 / $4,456.67 / $4,456.67	Facility	52	$2,406.42	$4,456.67	$4,456.67
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $601.61 / $1,114.17 / $1,114.17	Facility	53	$601.61	$1,114.17	$1,114.17
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $300.80 / $557.08 / $557.08	Facility	AS	$300.80	$557.08	$557.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,189.00 / $3,300.00 / $11,186.00	Facility		$1,189.00	$3,300.00	$11,186.00