Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $627.00 / $1,096.68 / $2,280.00	Facility		$627.00	$1,096.68	$2,280.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.40 / $615.60 / $714.40	Professional		$562.40	$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 $287.90 / $937.65 / $2,422.50	Facility		$287.90	$937.65	$2,422.50
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 Professional Modifier Low / Median / High Price $345.80 / $494.00 / $903.77	Professional		$345.80	$494.00	$903.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.00 / $304.00 / $582.39	Professional		$304.00	$304.00	$582.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $431.65 / $456.00 / $900.52	Professional		$431.65	$456.00	$900.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $554.27 / $1,253.52 / $2,104.43	Facility		$554.27	$1,253.52	$2,104.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $873.50 / $873.50 / $1,091.86	Professional		$873.50	$873.50	$1,091.86
United Facility/Professional Facility Modifier Low / Median / High Price $684.00 / $760.00 / $912.00	Facility		$684.00	$760.00	$912.00
United Facility/Professional Professional Modifier Low / Median / High Price $319.20 / $456.00 / $836.00	Professional		$319.20	$456.00	$836.00