Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $300.44 / $927.00 / $2,250.00	Facility		$300.44	$927.00	$2,250.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.73 / $189.38 / $300.44	Professional		$117.73	$189.38	$300.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,613.96 / $3,172.18 / $4,267.60	Facility		$2,613.96	$3,172.18	$4,267.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.42 / $142.10 / $228.39	Professional		$120.42	$142.10	$228.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.38 / $202.11 / $588.25	Professional		$112.38	$202.11	$588.25
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 $153.47 / $194.40 / $311.22	Professional		$153.47	$194.40	$311.22