Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,392.00 / $7,058.00 / $14,418.97	Facility		$1,392.00	$7,058.00	$14,418.97
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $388.06 / $388.06 / $388.06	Facility	52	$388.06	$388.06	$388.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,723.84 / $13,644.59 / $21,288.26	Facility		$8,723.84	$13,644.59	$21,288.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,170.00 / $5,170.00 / $5,170.00	Facility		$5,170.00	$5,170.00	$5,170.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $745.46 / $1,023.97 / $10,160.00	Facility		$745.46	$1,023.97	$10,160.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $12,302.24 / $12,302.24 / $12,302.24	Facility	52	$12,302.24	$12,302.24	$12,302.24
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $1,537.78 / $1,537.78 / $1,537.78	Facility	AS	$1,537.78	$1,537.78	$1,537.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,851.00 / $6,871.00 / $14,139.00	Facility		$1,851.00	$6,871.00	$14,139.00