Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.00 / $401.89 / $1,027.40	Facility		$216.00	$401.89	$1,027.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.40 / $159.36 / $185.28	Professional		$134.40	$159.36	$185.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $253.44 / $1,722.24	Facility		$59.40	$253.44	$1,722.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $449.28 / $537.60 / $679.68	Facility		$449.28	$537.60	$679.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $124.80 / $350.98 / $921.60	Facility		$124.80	$350.98	$921.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.72 / $249.60 / $624.12	Professional		$174.72	$249.60	$624.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.19 / $230.40 / $230.40	Professional		$163.19	$230.40	$230.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.47 / $38.48 / $249.60	Professional		$33.47	$38.48	$249.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $384.00 / $384.00 / $384.00	Professional		$384.00	$384.00	$384.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $249.60 / $537.97 / $1,115.63	Facility		$249.60	$537.97	$1,115.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $460.80 / $467.55 / $560.17	Professional		$460.80	$467.55	$560.17
United Facility/Professional Facility Modifier Low / Median / High Price $172.80 / $172.80 / $172.80	Facility		$172.80	$172.80	$172.80
United Facility/Professional Professional Modifier Low / Median / High Price $80.64 / $115.20 / $301.41	Professional		$80.64	$115.20	$301.41