Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $4,323.00 / $12,600.00	Facility		$1,000.00	$4,323.00	$12,600.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,948.18 / $3,948.18 / $3,948.18	Facility	50	$3,948.18	$3,948.18	$3,948.18
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $168.73 / $168.73 / $168.73	Facility	52	$168.73	$168.73	$168.73
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $67.48 / $67.48 / $67.48	Facility	53	$67.48	$67.48	$67.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $337.45 / $337.46 / $439.61	Professional		$337.45	$337.46	$439.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,550.80 / $8,653.12 / $13,616.87	Facility		$5,550.80	$8,653.12	$13,616.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $291.55 / $392.01 / $400.34	Professional		$291.55	$392.01	$400.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.73 / $407.36 / $508.58	Professional		$321.73	$407.36	$508.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $343.23 / $694.00 / $5,882.00	Facility		$343.23	$694.00	$5,882.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $7,119.48 / $7,119.48 / $7,119.48	Facility	52	$7,119.48	$7,119.48	$7,119.48
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $1,779.87 / $1,779.87 / $1,779.87	Facility	53	$1,779.87	$1,779.87	$1,779.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $282.91 / $397.43 / $2,853.12	Professional		$282.91	$397.43	$2,853.12
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 $260.89 / $347.31 / $556.38	Professional		$260.89	$347.31	$556.38