Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.72 / $209.24 / $402.39	Facility		$120.72	$209.24	$402.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.89 / $109.99 / $114.01	Professional		$93.89	$109.99	$114.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.09 / $100.00 / $378.25	Facility		$82.09	$100.00	$378.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $156.93 / $187.78 / $237.41	Facility		$156.93	$187.78	$237.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $211.53 / $386.29 / $647.23	Facility		$211.53	$386.29	$647.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.48 / $80.48 / $114.01	Professional		$80.48	$80.48	$114.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.95 / $279.68 / $397.27	Professional		$160.95	$279.68	$397.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.03 / $87.18 / $219.16	Professional		$61.03	$87.18	$219.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.98 / $226.67 / $402.34	Facility		$108.98	$226.67	$402.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.10 / $163.72 / $196.17	Professional		$159.10	$163.72	$196.17
United Facility/Professional Facility Modifier Low / Median / High Price $80.48 / $127.42 / $160.96	Facility		$80.48	$127.42	$160.96
United Facility/Professional Professional Modifier Low / Median / High Price $56.33 / $80.48 / $154.25	Professional		$56.33	$80.48	$154.25