Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $646.00 / $1,096.68 / $2,316.17	Facility		$646.00	$1,096.68	$2,316.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $532.00 / $615.60 / $714.40	Professional		$532.00	$615.60	$714.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $549.48 / $2,143.19	Facility		$92.60	$549.48	$2,143.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $889.20 / $1,064.00 / $1,345.20	Facility		$889.20	$1,064.00	$1,345.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $642.54 / $809.40 / $2,297.71	Facility		$642.54	$809.40	$2,297.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $345.80 / $494.00 / $1,241.86	Professional		$345.80	$494.00	$1,241.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $275.60 / $799.90	Professional		$200.00	$275.60	$799.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $402.80 / $676.40	Professional		$5.00	$402.80	$676.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.40 / $585.20 / $585.20	Professional		$524.40	$585.20	$585.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $456.00 / $456.00 / $646.00	Professional		$456.00	$456.00	$646.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $597.49 / $1,278.22 / $2,300.80	Facility		$597.49	$1,278.22	$2,300.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $793.13 / $840.71 / $1,007.27	Professional		$793.13	$840.71	$1,007.27
United Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $760.00 / $912.00	Facility		$760.00	$760.00	$912.00
United Facility/Professional Professional Modifier Low / Median / High Price $319.20 / $456.00 / $874.00	Professional		$319.20	$456.00	$874.00