Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $337.50 / $585.00 / $1,155.00	Facility		$337.50	$585.00	$1,155.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.50 / $300.00 / $318.75	Professional		$262.50	$300.00	$318.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $156.12 / $462.65 / $936.56	Facility		$156.12	$462.65	$936.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $438.75 / $525.00 / $663.75	Facility		$438.75	$525.00	$663.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $271.13 / $1,057.50	Facility		$92.60	$271.13	$1,057.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.63 / $243.75 / $612.76	Professional		$170.63	$243.75	$612.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $168.40 / $393.60	Professional		$150.00	$168.40	$393.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $225.00 / $318.75	Professional		$225.00	$225.00	$318.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $343.69 / $631.31 / $1,093.22	Facility		$343.69	$631.31	$1,093.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $383.06 / $414.59 / $496.73	Professional		$383.06	$414.59	$496.73
United Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $375.00 / $375.00	Facility		$375.00	$375.00	$375.00
United Facility/Professional Professional Modifier Low / Median / High Price $157.50 / $225.00 / $431.25	Professional		$157.50	$225.00	$431.25