Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.83 / $447.32 / $775.86	Facility		$256.83	$447.32	$775.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.38 / $198.81 / $198.81	Professional		$186.38	$198.81	$198.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.89 / $454.28 / $969.19	Facility		$109.89	$454.28	$969.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $290.75 / $347.91 / $439.86	Facility		$290.75	$347.91	$439.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $179.67 / $700.80	Facility		$92.60	$179.67	$700.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.07 / $161.53 / $406.07	Professional		$113.07	$161.53	$406.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.11 / $149.11 / $211.23	Professional		$149.11	$149.11	$211.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.51 / $248.51 / $248.51	Professional		$248.51	$248.51	$248.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.20 / $75.79 / $184.61	Professional		$66.20	$75.79	$184.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $219.68 / $416.75 / $726.89	Facility		$219.68	$416.75	$726.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.24 / $302.51 / $362.44	Professional		$288.24	$302.51	$362.44
United Facility/Professional Facility Modifier Low / Median / High Price $372.76 / $372.76 / $372.76	Facility		$372.76	$372.76	$372.76
United Facility/Professional Professional Modifier Low / Median / High Price $104.37 / $149.11 / $323.06	Professional		$104.37	$149.11	$323.06