Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,965.00 / $5,807.00 / $9,429.00	Facility		$1,965.00	$5,807.00	$9,429.00
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $4,805.00 / $4,805.00 / $4,805.00	Facility	22	$4,805.00	$4,805.00	$4,805.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $966.57 / $3,532.98 / $5,814.97	Facility		$966.57	$3,532.98	$5,814.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,269.46 / $5,269.46 / $5,269.46	Facility		$5,269.46	$5,269.46	$5,269.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $679.79 / $951.71 / $9,437.00	Facility		$679.79	$951.71	$9,437.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $180.63 / $1,537.78 / $1,537.78	Facility	AS	$180.63	$1,537.78	$1,537.78
United Facility/Professional Facility Modifier Low / Median / High Price $5,315.00 / $7,341.00 / $11,396.00	Facility		$5,315.00	$7,341.00	$11,396.00