Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.50 / $2,620.65 / $5,506.00	Facility		$562.50	$2,620.65	$5,506.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $3,686.25 / $3,686.25 / $3,686.25	Facility	53	$3,686.25	$3,686.25	$3,686.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.01 / $293.67 / $1,013.08	Professional		$147.01	$293.67	$1,013.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $438.60 / $1,651.20 / $2,700.74	Facility		$438.60	$1,651.20	$2,700.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.06 / $290.31 / $435.47	Professional		$173.06	$290.31	$435.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,084.43 / $3,084.43 / $3,084.43	Facility		$3,084.43	$3,084.43	$3,084.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.24 / $275.89 / $534.23	Professional		$167.24	$275.89	$534.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $146.16 / $321.04 / $3,339.00	Facility		$146.16	$321.04	$3,339.00
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $138.36 / $138.36 / $138.36	Facility	53	$138.36	$138.36	$138.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $232.40 / $381.59 / $2,665.36	Professional		$232.40	$381.59	$2,665.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,343.00 / $3,339.00 / $5,838.00	Facility		$2,343.00	$3,339.00	$5,838.00
United Facility/Professional Professional Modifier Low / Median / High Price $222.60 / $333.36 / $668.38	Professional		$222.60	$333.36	$668.38