Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,407.93 / $6,256.37 / $16,900.00	Facility		$1,407.93	$6,256.37	$16,900.00
Aetna Facility/Professional Facility Modifier 80 Low / Median / High Price $1,485.00 / $1,485.00 / $1,485.00	Facility	80	$1,485.00	$1,485.00	$1,485.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,723.84 / $13,599.58 / $21,400.78	Facility		$8,723.84	$13,599.58	$21,400.78
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 $1,014.68 / $1,754.00 / $14,587.03	Facility		$1,014.68	$1,754.00	$14,587.03
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $2,632.21 / $2,632.21 / $2,632.21	Facility	AS	$2,632.21	$2,632.21	$2,632.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,851.00 / $7,074.00 / $14,977.00	Facility		$1,851.00	$7,074.00	$14,977.00