Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,950.00 / $3,568.50 / $3,958.50	Facility		$1,950.00	$3,568.50	$3,958.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,386.45 / $3,568.50 / $3,958.50	Professional		$1,386.45	$3,568.50	$3,958.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,755.00 / $1,755.00 / $1,755.00	Facility		$1,755.00	$1,755.00	$1,755.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,755.00 / $1,755.00 / $1,755.00	Professional		$1,755.00	$1,755.00	$1,755.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,267.50 / $1,330.88 / $1,479.17	Facility		$1,267.50	$1,330.88	$1,479.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,755.00 / $1,755.00 / $1,950.00	Facility		$1,755.00	$1,755.00	$1,950.00
United Facility/Professional Professional Modifier Low / Median / High Price $737.10 / $1,053.00 / $3,315.00	Professional		$737.10	$1,053.00	$3,315.00