Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,743.95 / $3,191.43 / $5,314.86	Facility		$1,743.95	$3,191.43	$5,314.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,099.60 / $1,099.60 / $1,134.71	Professional		$1,099.60	$1,099.60	$1,134.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $479.47 / $2,138.71 / $4,562.88	Facility		$479.47	$2,138.71	$4,562.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,040.42 / $2,441.53 / $3,086.79	Facility		$2,040.42	$2,441.53	$3,086.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $1,544.14 / $10,493.11	Facility		$59.40	$1,544.14	$10,493.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,743.95 / $1,743.95 / $1,743.95	Professional		$1,743.95	$1,743.95	$1,743.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.83 / $310.49 / $1,403.16	Professional		$288.83	$310.49	$1,403.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $994.33 / $1,046.36 / $1,046.36	Professional		$994.33	$1,046.36	$1,046.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $793.50 / $1,133.57 / $2,849.68	Professional		$793.50	$1,133.57	$2,849.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,348.95 / $2,528.73 / $5,067.06	Facility		$1,348.95	$2,528.73	$5,067.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,023.91 / $2,124.11 / $2,544.92	Professional		$2,023.91	$2,124.11	$2,544.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,052.82 / $1,052.82 / $1,052.82	Facility		$1,052.82	$1,052.82	$1,052.82
United Facility/Professional Professional Modifier Low / Median / High Price $491.32 / $701.88 / $1,743.95	Professional		$491.32	$701.88	$1,743.95