Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $445.00 / $1,850.00 / $3,945.00	Facility		$445.00	$1,850.00	$3,945.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.50 / $367.50 / $367.50	Professional		$367.50	$367.50	$367.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,607.97 / $3,022.03 / $4,304.80	Facility		$1,607.97	$3,022.03	$4,304.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $800.00 / $946.50 / $1,110.92	Professional		$800.00	$946.50	$1,110.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.00 / $144.00 / $144.00	Professional		$144.00	$144.00	$144.00
United Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,752.00 / $4,251.00	Facility		$500.00	$1,752.00	$4,251.00