Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $502.50 / $875.10 / $1,814.28	Facility		$502.50	$875.10	$1,814.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $420.00 / $492.00 / $564.00	Professional		$420.00	$492.00	$564.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $792.00 / $5,382.00	Facility		$59.40	$792.00	$5,382.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $1,116.00 / $3,978.00	Facility		$750.00	$1,116.00	$3,978.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $619.77 / $920.97 / $2,617.62	Facility		$619.77	$920.97	$2,617.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $600.00 / $600.00	Professional		$600.00	$600.00	$600.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $360.00 / $360.00 / $510.00	Professional		$360.00	$360.00	$510.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $273.00 / $390.00 / $975.20	Professional		$273.00	$390.00	$975.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $262.80 / $738.70	Professional		$240.00	$262.80	$738.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $428.85 / $930.58 / $1,841.78	Facility		$428.85	$930.58	$1,841.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $720.29 / $731.09 / $875.93	Professional		$720.29	$731.09	$875.93
United Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $540.00 / $540.00	Facility		$540.00	$540.00	$540.00
United Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $360.00 / $690.00	Professional		$252.00	$360.00	$690.00