Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $874.00 / $3,665.00 / $9,304.00	Facility		$874.00	$3,665.00	$9,304.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $8.86 / $8.86 / $11.55	Facility	52	$8.86	$8.86	$11.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,114.00 / $4,050.00 / $9,663.00	Facility		$2,114.00	$4,050.00	$9,663.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,652.00 / $1,652.00 / $1,652.00	Facility		$1,652.00	$1,652.00	$1,652.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.07 / $31.20 / $1,639.00	Facility		$18.07	$31.20	$1,639.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $39.21 / $2,165.08 / $2,165.08	Facility	52	$39.21	$2,165.08	$2,165.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $2,332.00 / $3,071.00	Facility		$1,300.00	$2,332.00	$3,071.00