Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,053.85 / $4,449.12 / $4,449.12	Facility		$1,053.85	$4,449.12	$4,449.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $991.87 / $1,053.85 / $1,053.85	Professional		$991.87	$1,053.85	$1,053.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,053.85 / $1,095.19 / $1,157.18	Facility		$1,053.85	$1,095.19	$1,157.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,115.85 / $1,115.85 / $1,115.85	Professional		$1,115.85	$1,115.85	$1,115.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,053.85 / $1,053.85 / $1,053.85	Facility		$1,053.85	$1,053.85	$1,053.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,053.85 / $1,053.85 / $1,053.85	Professional		$1,053.85	$1,053.85	$1,053.85
United Facility/Professional Professional Modifier Low / Median / High Price $1,033.20 / $1,033.20 / $1,033.20	Professional		$1,033.20	$1,033.20	$1,033.20