Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,496.87 / $4,261.00 / $12,154.00	Facility		$1,496.87	$4,261.00	$12,154.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $571.87 / $571.87 / $748.44	Facility	52	$571.87	$571.87	$748.44
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 $1,136.46 / $1,682.84 / $3,516.00	Facility		$1,136.46	$1,682.84	$3,516.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $2,456.48 / $4,525.71 / $4,525.71	Facility	52	$2,456.48	$4,525.71	$4,525.71
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $307.06 / $565.71 / $565.71	Facility	AS	$307.06	$565.71	$565.71
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