Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.21 / $47.43 / $97.44	Facility		$28.21	$47.43	$97.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.48 / $25.98 / $30.97	Professional		$15.48	$25.98	$30.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $47.86 / $60.51	Facility		$40.00	$47.86	$60.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.64 / $35.04 / $103.36	Facility		$33.64	$35.04	$103.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.60 / $95.10 / $319.39	Facility		$52.60	$95.10	$319.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.55 / $22.22 / $66.94	Professional		$15.55	$22.22	$66.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.33 / $20.51 / $40.51	Professional		$15.33	$20.51	$40.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.39 / $10.60 / $25.09	Professional		$6.39	$10.60	$25.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.19 / $34.19 / $34.19	Professional		$34.19	$34.19	$34.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.95 / $34.19 / $34.19	Professional		$23.95	$34.19	$34.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.47 / $55.33 / $93.62	Facility		$22.47	$55.33	$93.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.58 / $39.24 / $52.14	Professional		$36.58	$39.24	$52.14
United Facility/Professional Facility Modifier Low / Median / High Price $15.39 / $21.04 / $34.19	Facility		$15.39	$21.04	$34.19
United Facility/Professional Professional Modifier Low / Median / High Price $14.36 / $20.51 / $41.03	Professional		$14.36	$20.51	$41.03