Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,073.20 / $6,960.00 / $12,579.00	Facility		$1,073.20	$6,960.00	$12,579.00
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $6,960.00 / $6,960.00 / $6,960.00	Facility	22	$6,960.00	$6,960.00	$6,960.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,370.51 / $8,654.00 / $12,831.00	Facility	50	$5,370.51	$8,654.00	$12,831.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,404.79 / $5,938.00 / $14,259.00	Facility		$2,404.79	$5,938.00	$14,259.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,806.00 / $11,477.00 / $20,055.00	Facility		$10,806.00	$11,477.00	$20,055.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $604.86 / $1,193.91 / $18,385.93	Facility		$604.86	$1,193.91	$18,385.93
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $4,721.38 / $10,296.00 / $11,452.50	Facility	50	$4,721.38	$10,296.00	$11,452.50
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $165.08 / $1,537.78 / $1,537.78	Facility	AS	$165.08	$1,537.78	$1,537.78
United Facility/Professional Facility Modifier Low / Median / High Price $2,426.00 / $4,963.00 / $12,601.00	Facility		$2,426.00	$4,963.00	$12,601.00