Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,392.00 / $5,719.00 / $16,900.00	Facility		$1,392.00	$5,719.00	$16,900.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $243.04 / $243.04 / $243.04	Facility	52	$243.04	$243.04	$243.04
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $97.22 / $97.22 / $97.22	Facility	53	$97.22	$97.22	$97.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19,628.16 / $30,959.35 / $49,267.55	Facility		$19,628.16	$30,959.35	$49,267.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,516.00 / $5,516.00 / $15,917.00	Facility		$5,516.00	$5,516.00	$15,917.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $486.08 / $3,986.00 / $16,604.52	Facility		$486.08	$3,986.00	$16,604.52
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $25,403.20 / $25,403.20 / $25,403.20	Facility	52	$25,403.20	$25,403.20	$25,403.20
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $6,350.80 / $6,350.80 / $6,350.80	Facility	53	$6,350.80	$6,350.80	$6,350.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,570.00 / $7,307.00 / $17,111.11	Facility		$1,570.00	$7,307.00	$17,111.11