Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.00 / $2,747.00 / $7,629.00	Facility		$338.00	$2,747.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.61 / $171.78 / $311.91	Professional		$112.61	$171.78	$311.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $79.00 / $91.00	Facility		$77.09	$79.00	$91.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,845.00 / $2,866.00 / $4,277.00	Facility		$1,845.00	$2,866.00	$4,277.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $1,183.00 / $1,530.00	Facility		$1,139.00	$1,183.00	$1,530.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.01 / $183.04 / $258.70	Professional		$80.01	$183.04	$258.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.51 / $156.72 / $258.58	Professional		$140.51	$156.72	$258.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $418.20 / $492.00 / $492.00	Professional		$418.20	$492.00	$492.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.38 / $204.38 / $248.81	Professional		$204.38	$204.38	$248.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.53 / $117.90 / $242.37	Professional		$82.53	$117.90	$242.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.99 / $229.99 / $564.31	Facility		$229.99	$229.99	$564.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.71 / $213.75 / $278.66	Professional		$172.71	$213.75	$278.66
United Facility/Professional Facility Modifier Low / Median / High Price $293.00 / $1,158.00 / $2,720.00	Facility		$293.00	$1,158.00	$2,720.00
United Facility/Professional Professional Modifier Low / Median / High Price $151.91 / $258.39 / $464.80	Professional		$151.91	$258.39	$464.80