Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $2,923.00 / $7,500.00	Facility		$625.00	$2,923.00	$7,500.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $30.71 / $30.71 / $73.75	Facility	53	$30.71	$30.71	$73.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.53 / $293.83 / $372.24	Professional		$153.53	$293.83	$372.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,343.05 / $8,297.12 / $13,038.34	Facility		$5,343.05	$8,297.12	$13,038.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.77 / $338.10 / $483.47	Professional		$175.77	$338.10	$483.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.83 / $309.62 / $432.84	Professional		$180.83	$309.62	$432.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $161.21 / $390.85 / $4,240.00	Facility		$161.21	$390.85	$4,240.00
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 $261.45 / $459.77 / $2,665.36	Professional		$261.45	$459.77	$2,665.36
United Facility/Professional Facility Modifier Low / Median / High Price $884.00 / $2,875.93 / $5,543.93	Facility		$884.00	$2,875.93	$5,543.93
United Facility/Professional Professional Modifier Low / Median / High Price $238.40 / $329.89 / $512.98	Professional		$238.40	$329.89	$512.98