Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,482.10 / $5,482.00 / $10,750.00	Facility		$1,482.10	$5,482.00	$10,750.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $917.19 / $955.95 / $1,370.93	Facility	54	$917.19	$955.95	$1,370.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $992.21 / $1,269.30 / $2,309.19	Professional		$992.21	$1,269.30	$2,309.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,877.00 / $7,264.00 / $12,538.00	Facility		$3,877.00	$7,264.00	$12,538.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,038.85 / $1,351.94 / $2,234.53	Professional		$1,038.85	$1,351.94	$2,234.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,399.00 / $1,938.72 / $2,485.17	Facility		$1,399.00	$1,938.72	$2,485.17
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $913.68 / $913.68 / $913.68	Facility	54	$913.68	$913.68	$913.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,031.96 / $1,471.31 / $2,442.12	Professional		$1,031.96	$1,471.31	$2,442.12
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $6,423.50 / $12,228.50	Facility		$2,912.00	$6,423.50	$12,228.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,033.04 / $1,337.34 / $2,366.62	Professional		$1,033.04	$1,337.34	$2,366.62