Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $912.01 / $1,513.56	Facility		$870.96	$912.01	$1,513.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $912.01 / $912.01	Professional		$870.96	$912.01	$912.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,071.52 / $2,570.40	Facility		$870.96	$1,071.52	$2,570.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $870.96 / $1,258.93	Professional		$575.44	$870.96	$1,258.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $2,041.74	Facility		$870.96	$870.96	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $1,023.29	Professional		$870.96	$870.96	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $870.96 / $870.96	Facility		$87.10	$870.96	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96