Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $329.05 / $329.05 / $329.10	Facility		$329.05	$329.05	$329.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.05 / $329.05 / $566.05	Professional		$329.05	$329.05	$566.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21,399.81 / $25,969.67 / $34,937.53	Facility		$21,399.81	$25,969.67	$34,937.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $320.52 / $329.05 / $329.05	Professional		$320.52	$329.05	$329.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $329.05 / $329.05 / $329.05	Facility		$329.05	$329.05	$329.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.05 / $329.05 / $329.05	Professional		$329.05	$329.05	$329.05
United Facility/Professional Facility Modifier Low / Median / High Price $337.98 / $337.98 / $337.98	Facility		$337.98	$337.98	$337.98
United Facility/Professional Professional Modifier Low / Median / High Price $329.05 / $329.05 / $329.05	Professional		$329.05	$329.05	$329.05