Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $767.56 / $7,154.00 / $14,666.00	Facility		$767.56	$7,154.00	$14,666.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $255.86 / $269.37 / $317.26	Facility	52	$255.86	$269.37	$317.26
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $102.34 / $107.75 / $126.90	Facility	53	$102.34	$107.75	$126.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,107.00 / $12,991.00 / $20,564.00	Facility		$8,107.00	$12,991.00	$20,564.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,059.00 / $18,730.00 / $27,391.00	Facility		$9,059.00	$18,730.00	$27,391.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $532.38 / $1,230.63 / $25,394.00	Facility		$532.38	$1,230.63	$25,394.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $916.51 / $25,403.20 / $25,403.20	Facility	52	$916.51	$25,403.20	$25,403.20
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $229.13 / $6,350.80 / $6,350.80	Facility	53	$229.13	$6,350.80	$6,350.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,426.00 / $13,833.00 / $30,751.00	Facility		$2,426.00	$13,833.00	$30,751.00