Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $481.08 / $815.15 / $1,594.19	Facility		$481.08	$815.15	$1,594.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $409.43 / $479.62 / $549.80	Professional		$409.43	$479.62	$549.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $772.07 / $5,246.55	Facility		$59.40	$772.07	$5,246.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.91 / $1,069.20 / $2,822.38	Facility		$380.91	$1,069.20	$2,822.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $742.82 / $1,087.91 / $4,477.89	Facility		$742.82	$1,087.91	$4,477.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $350.94 / $350.94 / $497.17	Professional		$350.94	$350.94	$497.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $266.13 / $380.19 / $950.67	Professional		$266.13	$380.19	$950.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $584.90 / $584.90 / $584.90	Professional		$584.90	$584.90	$584.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.83 / $288.83 / $800.00	Professional		$288.83	$288.83	$800.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $418.06 / $907.19 / $1,795.20	Facility		$418.06	$907.19	$1,795.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $702.17 / $712.27 / $853.38	Professional		$702.17	$712.27	$853.38
United Facility/Professional Facility Modifier Low / Median / High Price $584.90 / $584.90 / $877.35	Facility		$584.90	$584.90	$877.35
United Facility/Professional Professional Modifier Low / Median / High Price $245.66 / $350.94 / $672.64	Professional		$245.66	$350.94	$672.64