Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.77 / $142.50 / $320.12	Facility		$85.77	$142.50	$320.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.33 / $74.62 / $88.65	Professional		$64.33	$74.62	$88.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.58 / $117.29 / $345.95	Facility		$112.58	$117.29	$345.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $133.88 / $160.19 / $202.54	Facility		$133.88	$160.19	$202.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $130.18 / $865.32	Facility		$59.40	$130.18	$865.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.07 / $74.38 / $136.08	Professional		$52.07	$74.38	$136.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.43 / $114.43 / $114.43	Professional		$114.43	$114.43	$114.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.15 / $45.77 / $84.41	Professional		$38.15	$45.77	$84.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.65 / $68.66 / $130.56	Professional		$41.65	$68.66	$130.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.74 / $151.42 / $255.11	Facility		$68.74	$151.42	$255.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.65 / $131.75 / $164.68	Professional		$60.65	$131.75	$164.68
United Facility/Professional Facility Modifier Low / Median / High Price $85.77 / $85.77 / $107.21	Facility		$85.77	$85.77	$107.21
United Facility/Professional Professional Modifier Low / Median / High Price $36.02 / $51.46 / $114.43	Professional		$36.02	$51.46	$114.43