Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13,416.10 / $13,416.10 / $13,416.10	Facility		$13,416.10	$13,416.10	$13,416.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,128.02 / $4,128.02 / $4,334.42	Professional		$4,128.02	$4,128.02	$4,334.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,116.72 / $4,125.55 / $4,359.07	Facility		$4,116.72	$4,125.55	$4,359.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,128.02 / $4,128.02 / $4,128.02	Professional		$4,128.02	$4,128.02	$4,128.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,128.02 / $4,128.02 / $4,128.02	Facility		$4,128.02	$4,128.02	$4,128.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,128.02 / $4,128.02 / $4,128.02	Professional		$4,128.02	$4,128.02	$4,128.02
United Facility/Professional Professional Modifier Low / Median / High Price $4,128.02 / $4,128.02 / $4,595.35	Professional		$4,128.02	$4,128.02	$4,595.35