Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $572.96 / $687.82 / $1,266.47	Facility		$572.96	$687.82	$1,266.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $572.96 / $572.96 / $682.19	Professional		$572.96	$572.96	$682.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $572.96 / $932.78 / $1,815.71	Facility		$572.96	$932.78	$1,815.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $572.96 / $572.96 / $572.96	Professional		$572.96	$572.96	$572.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $540.53 / $572.96 / $572.96	Facility		$540.53	$572.96	$572.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $572.96 / $572.96 / $572.96	Professional		$572.96	$572.96	$572.96
United Facility/Professional Facility Modifier Low / Median / High Price $351.40 / $351.40 / $351.40	Facility		$351.40	$351.40	$351.40
United Facility/Professional Professional Modifier Low / Median / High Price $572.96 / $572.96 / $802.14	Professional		$572.96	$572.96	$802.14