Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.02 / $3,523.80 / $6,435.00	Facility		$1,017.02	$3,523.80	$6,435.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $114.35 / $114.35 / $508.51	Facility	52	$114.35	$114.35	$508.51
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $45.74 / $45.74 / $203.40	Facility	53	$45.74	$45.74	$203.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $228.68 / $1,017.01 / $1,034.40	Professional		$228.68	$1,017.01	$1,034.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,686.67 / $5,815.76 / $9,253.70	Facility		$3,686.67	$5,815.76	$9,253.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $247.30 / $1,088.56 / $1,195.25	Professional		$247.30	$1,088.56	$1,195.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.50 / $343.63 / $1,155.29	Professional		$258.50	$343.63	$1,155.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $228.69 / $1,034.40 / $5,145.24	Facility		$228.69	$1,034.40	$5,145.24
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 $794.37 / $1,239.47 / $6,599.52	Professional		$794.37	$1,239.47	$6,599.52
United Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $2,900.00 / $5,543.93	Facility		$875.00	$2,900.00	$5,543.93
United Facility/Professional Professional Modifier Low / Median / High Price $730.46 / $1,004.38 / $1,605.18	Professional		$730.46	$1,004.38	$1,605.18