Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $508.22 / $803.78 / $1,822.19	Facility		$508.22	$803.78	$1,822.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $418.54 / $484.31 / $562.04	Professional		$418.54	$484.31	$562.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $699.55 / $837.07 / $1,058.30	Facility		$699.55	$837.07	$1,058.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $597.91 / $1,476.84 / $3,091.19	Facility		$597.91	$1,476.84	$3,091.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.70 / $100.00 / $5,423.04	Facility		$58.70	$100.00	$5,423.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $567.74 / $636.77 / $1,807.66	Facility		$567.74	$636.77	$1,807.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $597.91 / $597.91 / $597.91	Professional		$597.91	$597.91	$597.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $597.91 / $597.91 / $908.82	Professional		$597.91	$597.91	$908.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.16 / $281.00 / $855.48	Professional		$239.16	$281.00	$855.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $358.75 / $358.75 / $508.22	Professional		$358.75	$358.75	$508.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $272.05 / $388.64 / $977.00	Professional		$272.05	$388.64	$977.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $567.41 / $1,049.33 / $1,737.22	Facility		$567.41	$1,049.33	$1,737.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $642.36 / $728.03 / $872.26	Professional		$642.36	$728.03	$872.26
United Facility/Professional Facility Modifier Low / Median / High Price $538.12 / $568.01 / $717.49	Facility		$538.12	$568.01	$717.49
United Facility/Professional Professional Modifier Low / Median / High Price $251.12 / $358.75 / $669.66	Professional		$251.12	$358.75	$669.66