Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.85 / $1,774.00 / $7,500.00	Facility		$281.85	$1,774.00	$7,500.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $45.22 / $45.22 / $133.69	Facility	52	$45.22	$45.22	$133.69
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $18.09 / $18.09 / $53.47	Facility	53	$18.09	$18.09	$53.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.43 / $224.35 / $271.94	Professional		$90.43	$224.35	$271.94
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $45.22 / $45.99 / $135.97	Professional	52	$45.22	$45.99	$135.97
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $18.09 / $18.39 / $54.39	Professional	53	$18.09	$18.39	$54.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,744.63 / $5,837.50 / $9,186.09	Facility		$3,744.63	$5,837.50	$9,186.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.09 / $218.75 / $300.38	Professional		$81.09	$218.75	$300.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.92 / $226.05 / $318.56	Professional		$101.92	$226.05	$318.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $94.96 / $280.74 / $2,417.01	Facility		$94.96	$280.74	$2,417.01
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $289.45 / $289.45 / $289.45	Facility	52	$289.45	$289.45	$289.45
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $72.36 / $72.36 / $72.36	Facility	53	$72.36	$72.36	$72.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $188.08 / $303.64 / $1,775.04	Professional		$188.08	$303.64	$1,775.04
United Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $1,333.00 / $2,417.01	Facility		$480.00	$1,333.00	$2,417.01
United Facility/Professional Professional Modifier Low / Median / High Price $172.94 / $237.80 / $364.74	Professional		$172.94	$237.80	$364.74