Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,625.00 / $1,625.00 / $1,625.00	Facility		$1,625.00	$1,625.00	$1,625.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $975.00 / $975.00 / $1,625.00	Professional		$975.00	$975.00	$1,625.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,031.25 / $2,519.00 / $5,200.00	Professional		$2,031.25	$2,519.00	$5,200.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,249.94 / $3,249.94 / $3,249.94	Facility		$3,249.94	$3,249.94	$3,249.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,867.59 / $2,334.48 / $3,494.00	Professional		$1,867.59	$2,334.48	$3,494.00
United Facility/Professional Professional Modifier Low / Median / High Price $682.50 / $682.50 / $1,625.00	Professional		$682.50	$682.50	$1,625.00