Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,346.00 / $3,803.00 / $18,600.00	Facility		$1,346.00	$3,803.00	$18,600.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $827.70 / $827.70 / $827.70	Facility	52	$827.70	$827.70	$827.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,478.98 / $17,827.98 / $27,902.91	Facility		$11,478.98	$17,827.98	$27,902.91
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 $1,489.86 / $2,153.66 / $7,567.45	Facility		$1,489.86	$2,153.66	$7,567.45
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $5,570.85 / $5,570.85 / $5,570.85	Facility	52	$5,570.85	$5,570.85	$5,570.85
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $696.36 / $696.36 / $696.36	Facility	AS	$696.36	$696.36	$696.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,481.00 / $5,910.00 / $9,232.95	Facility		$1,481.00	$5,910.00	$9,232.95