Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,636.00 / $5,946.00 / $18,600.00	Facility		$1,636.00	$5,946.00	$18,600.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $911.50 / $911.50 / $911.50	Facility	52	$911.50	$911.50	$911.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,301.33 / $17,827.98 / $28,366.81	Facility		$11,301.33	$17,827.98	$28,366.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,321.00 / $2,321.00 / $2,321.00	Facility		$2,321.00	$2,321.00	$2,321.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,477.73 / $3,051.66 / $19,664.12	Facility		$1,477.73	$3,051.66	$19,664.12
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $16,840.24 / $16,840.24 / $16,840.24	Facility	52	$16,840.24	$16,840.24	$16,840.24
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $13,156.44 / $13,156.44 / $13,156.44	Facility	62	$13,156.44	$13,156.44	$13,156.44
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $2,105.03 / $2,105.03 / $2,105.03	Facility	AS	$2,105.03	$2,105.03	$2,105.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,960.00 / $9,469.00 / $20,190.00	Facility		$1,960.00	$9,469.00	$20,190.00