Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $656.51 / $4,601.00 / $9,094.28	Facility		$656.51	$4,601.00	$9,094.28
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $627.50 / $3,835.50 / $9,150.42	Facility	50	$627.50	$3,835.50	$9,150.42
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $86.55 / $86.55 / $224.24	Facility	52	$86.55	$86.55	$224.24
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $34.61 / $34.61 / $89.70	Facility	53	$34.61	$34.61	$89.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.09 / $448.38 / $624.11	Professional		$173.09	$448.38	$624.11
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 $179.30 / $414.40 / $569.03	Professional		$179.30	$414.40	$569.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.36 / $245.94 / $574.39	Professional		$178.36	$245.94	$574.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $181.76 / $552.41 / $4,830.00	Facility		$181.76	$552.41	$4,830.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $775.66 / $775.66 / $775.66	Facility	52	$775.66	$775.66	$775.66
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $193.91 / $193.91 / $193.91	Facility	53	$193.91	$193.91	$193.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $406.60 / $639.07 / $4,715.39	Professional		$406.60	$639.07	$4,715.39
United Facility/Professional Facility Modifier Low / Median / High Price $880.00 / $2,900.00 / $5,543.93	Facility		$880.00	$2,900.00	$5,543.93
United Facility/Professional Professional Modifier Low / Median / High Price $373.89 / $514.10 / $821.62	Professional		$373.89	$514.10	$821.62