Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $644.01 / $1,250.33	Facility		$416.78	$644.01	$1,250.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $416.78 / $572.36	Professional		$416.78	$416.78	$572.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.71 / $687.93 / $1,818.28	Facility		$257.71	$687.93	$1,818.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $550.15 / $3,738.52	Facility		$59.40	$550.15	$3,738.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $416.78 / $416.78	Facility		$416.78	$416.78	$416.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $450.12 / $1,975.54	Facility		$416.78	$450.12	$1,975.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.71 / $200.15 / $466.78	Professional		$166.71	$200.15	$466.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $416.78 / $416.78	Professional		$416.78	$416.78	$416.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $354.26 / $416.78	Professional		$3.50	$354.26	$416.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.07 / $250.07 / $416.78	Professional		$250.07	$250.07	$416.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.81 / $45.44 / $120.32	Professional		$31.81	$45.44	$120.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $356.25 / $586.79 / $1,151.36	Facility		$356.25	$586.79	$1,151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $507.69 / $608.27	Professional		$416.78	$507.69	$608.27
United Facility/Professional Facility Modifier Low / Median / High Price $395.94 / $416.78 / $562.65	Facility		$395.94	$416.78	$562.65
United Facility/Professional Professional Modifier Low / Median / High Price $175.05 / $228.84 / $558.20	Professional		$175.05	$228.84	$558.20