Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $520.98 / $1,187.82	Facility		$416.78	$520.98	$1,187.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $416.78 / $416.78	Professional		$416.78	$416.78	$416.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.70 / $100.00 / $3,763.52	Facility		$58.70	$100.00	$3,763.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $1,029.45 / $2,154.75	Facility		$416.78	$1,029.45	$2,154.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.11 / $66.78 / $679.35	Facility		$19.11	$66.78	$679.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $264.29 / $687.79 / $1,817.97	Facility		$264.29	$687.79	$1,817.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.71 / $206.40 / $509.58	Professional		$166.71	$206.40	$509.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $350.10 / $416.78	Professional		$3.50	$350.10	$416.78
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 $250.07 / $250.07 / $416.78	Professional		$250.07	$250.07	$416.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.29 / $188.98 / $472.54	Professional		$132.29	$188.98	$472.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $351.78 / $586.79 / $1,151.36	Facility		$351.78	$586.79	$1,151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.96 / $507.69 / $608.27	Professional		$478.96	$507.69	$608.27
United Facility/Professional Facility Modifier Low / Median / High Price $375.09 / $375.09 / $375.09	Facility		$375.09	$375.09	$375.09
United Facility/Professional Professional Modifier Low / Median / High Price $175.05 / $228.81 / $479.30	Professional		$175.05	$228.81	$479.30