Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,248.00 / $5,946.00 / $17,600.00	Facility		$1,248.00	$5,946.00	$17,600.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $303.86 / $303.86 / $303.86	Facility	52	$303.86	$303.86	$303.86
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $121.54 / $121.54 / $121.54	Facility	53	$121.54	$121.54	$121.54
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 $607.72 / $4,134.00 / $21,347.00	Facility		$607.72	$4,134.00	$21,347.00
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 / $18,862.37	Facility		$1,570.00	$7,307.00	$18,862.37