Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $322.51 / $545.59 / $1,041.68	Facility		$322.51	$545.59	$1,041.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.29 / $281.33 / $302.70	Professional		$249.29	$281.33	$302.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.67 / $498.58 / $630.35	Facility		$416.67	$498.58	$630.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.33 / $111.59 / $190.19	Facility		$43.33	$111.59	$190.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $1,388.91	Facility		$244.00	$614.00	$1,388.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,187.60 / $5,008.39 / $6,102.80	Facility		$4,187.60	$5,008.39	$6,102.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.68 / $213.68 / $302.70	Professional		$213.68	$213.68	$302.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.04 / $231.48 / $578.82	Professional		$162.04	$231.48	$578.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $221.05 / $241.31 / $459.11	Professional		$221.05	$241.31	$459.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $356.13 / $356.13 / $356.13	Professional		$356.13	$356.13	$356.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $356.13 / $356.13 / $541.32	Professional		$356.13	$356.13	$541.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $317.82 / $601.85 / $1,068.28	Facility		$317.82	$601.85	$1,068.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $433.84 / $433.84 / $519.79	Professional		$433.84	$433.84	$519.79
United Facility/Professional Facility Modifier Low / Median / High Price $320.52 / $320.52 / $320.52	Facility		$320.52	$320.52	$320.52
United Facility/Professional Professional Modifier Low / Median / High Price $149.57 / $213.68 / $402.78	Professional		$149.57	$213.68	$402.78