Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,217.00 / $2,788.00 / $6,323.00	Facility		$1,217.00	$2,788.00	$6,323.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,234.00 / $5,234.00 / $6,550.85	Facility	50	$5,234.00	$5,234.00	$6,550.85
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,605.12 / $1,605.12 / $1,605.12	Facility	52	$1,605.12	$1,605.12	$1,605.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.04 / $816.25 / $1,472.17	Professional		$200.04	$816.25	$1,472.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $448.92 / $1,651.20 / $2,700.74	Facility		$448.92	$1,651.20	$2,700.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.41 / $495.25 / $810.41	Professional		$165.41	$495.25	$810.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,768.35 / $1,768.35 / $1,768.35	Facility		$1,768.35	$1,768.35	$1,768.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.60 / $567.40 / $1,485.92	Professional		$216.60	$567.40	$1,485.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $208.23 / $897.88 / $3,638.00	Facility		$208.23	$897.88	$3,638.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $727.83 / $727.83 / $727.83	Facility	52	$727.83	$727.83	$727.83
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $181.96 / $181.96 / $181.96	Facility	53	$181.96	$181.96	$181.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $792.99 / $1,067.54 / $3,321.46	Professional		$792.99	$1,067.54	$3,321.46
United Facility/Professional Facility Modifier Low / Median / High Price $2,140.00 / $3,339.00 / $5,838.00	Facility		$2,140.00	$3,339.00	$5,838.00
United Facility/Professional Professional Modifier Low / Median / High Price $784.30 / $961.20 / $1,754.63	Professional		$784.30	$961.20	$1,754.63