Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $485.00 / $927.00 / $2,250.00	Facility		$485.00	$927.00	$2,250.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.87 / $333.59 / $589.10	Professional		$210.87	$333.59	$589.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,559.86 / $3,106.51 / $4,179.26	Facility		$2,559.86	$3,106.51	$4,179.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $265.00 / $332.18 / $470.04	Professional		$265.00	$332.18	$470.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.70 / $391.92 / $868.18	Professional		$236.70	$391.92	$868.18
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $1,768.00 / $3,360.00	Facility		$625.00	$1,768.00	$3,360.00
United Facility/Professional Professional Modifier Low / Median / High Price $295.58 / $361.94 / $615.29	Professional		$295.58	$361.94	$615.29