Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.54 / $3,742.00 / $8,247.00	Facility		$202.54	$3,742.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.32 / $197.33 / $250.86	Professional		$124.32	$197.33	$250.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,172.00 / $4,331.49	Facility		$1,712.00	$3,172.00	$4,331.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $1,694.68	Facility		$66.90	$100.00	$1,694.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $561.74 / $599.17 / $647.87	Facility		$561.74	$599.17	$647.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,067.26 / $1,273.28 / $1,642.66	Facility		$1,067.26	$1,273.28	$1,642.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.27 / $196.72 / $290.94	Professional		$153.27	$196.72	$290.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.14 / $181.57 / $213.84	Professional		$85.14	$181.57	$213.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.40 / $214.24 / $246.55	Professional		$185.40	$214.24	$246.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.76 / $150.76 / $150.76	Professional		$150.76	$150.76	$150.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.10 / $123.00 / $239.29	Professional		$86.10	$123.00	$239.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.43 / $561.36 / $649.37	Facility		$501.43	$561.36	$649.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.07 / $274.26 / $370.44	Professional		$234.07	$274.26	$370.44
United Facility/Professional Facility Modifier Low / Median / High Price $788.00 / $1,940.00 / $4,067.00	Facility		$788.00	$1,940.00	$4,067.00
United Facility/Professional Professional Modifier Low / Median / High Price $177.96 / $260.50 / $432.24	Professional		$177.96	$260.50	$432.24