Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.64 / $611.15 / $1,112.28	Facility		$309.64	$611.15	$1,112.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.20 / $140.68 / $275.98	Professional		$114.20	$140.68	$275.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.90 / $218.47 / $1,494.56	Facility		$58.90	$218.47	$1,494.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $180.41 / $523.01 / $873.89	Facility		$180.41	$523.01	$873.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $476.69 / $570.40 / $721.15	Facility		$476.69	$570.40	$721.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $188.20 / $679.39 / $1,777.49	Facility		$188.20	$679.39	$1,777.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.15 / $407.43 / $407.43	Professional		$407.15	$407.43	$407.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.38 / $264.83 / $662.21	Professional		$185.38	$264.83	$662.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.68 / $244.46 / $244.46	Professional		$140.68	$244.46	$244.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.20 / $84.33 / $344.39	Professional		$66.20	$84.33	$344.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $320.33 / $662.08 / $1,191.74	Facility		$320.33	$662.08	$1,191.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.43 / $496.44 / $594.79	Professional		$407.43	$496.44	$594.79
United Facility/Professional Facility Modifier Low / Median / High Price $157.30 / $157.30 / $198.72	Facility		$157.30	$157.30	$198.72
United Facility/Professional Professional Modifier Low / Median / High Price $69.51 / $99.31 / $264.52	Professional		$69.51	$99.31	$264.52