Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $2,876.00 / $7,500.00	Facility		$625.00	$2,876.00	$7,500.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $62.91 / $62.91 / $266.58	Facility	52	$62.91	$62.91	$266.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.24 / $170.41 / $565.48	Professional		$119.24	$170.41	$565.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,962.42 / $3,095.30 / $4,908.60	Facility		$1,962.42	$3,095.30	$4,908.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.70 / $258.12 / $690.14	Professional		$112.70	$258.12	$690.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.74 / $239.07 / $684.14	Professional		$134.74	$239.07	$684.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $125.81 / $416.89 / $2,160.00	Facility		$125.81	$416.89	$2,160.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $422.66 / $422.66 / $422.66	Facility	52	$422.66	$422.66	$422.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $181.24 / $596.66 / $3,618.00	Professional		$181.24	$596.66	$3,618.00
United Facility/Professional Facility Modifier Low / Median / High Price $575.00 / $1,760.00 / $4,012.00	Facility		$575.00	$1,760.00	$4,012.00
United Facility/Professional Professional Modifier Low / Median / High Price $167.32 / $498.53 / $862.46	Professional		$167.32	$498.53	$862.46