Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.59 / $252.25 / $532.75	Facility		$148.59	$252.25	$532.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.37 / $141.60 / $164.32	Professional		$122.37	$141.60	$164.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.52 / $244.73 / $309.41	Facility		$204.52	$244.73	$309.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.34 / $174.81 / $823.36	Facility		$76.34	$174.81	$823.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $171.98 / $186.17 / $528.50	Facility		$171.98	$186.17	$528.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.30 / $230.75 / $1,568.05	Facility		$59.30	$230.75	$1,568.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.89 / $104.89 / $148.59	Professional		$104.89	$104.89	$148.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.54 / $113.63 / $285.64	Professional		$79.54	$113.63	$285.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.92 / $71.67 / $217.53	Professional		$69.92	$71.67	$217.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.81 / $174.81 / $174.81	Professional		$174.81	$174.81	$174.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.81 / $174.81 / $265.70	Professional		$174.81	$174.81	$265.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.04 / $295.44 / $524.40	Facility		$142.04	$295.44	$524.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.73 / $212.76 / $254.91	Professional		$202.73	$212.76	$254.91
United Facility/Professional Facility Modifier Low / Median / High Price $262.20 / $262.20 / $262.20	Facility		$262.20	$262.20	$262.20
United Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $104.89 / $201.03	Professional		$73.42	$104.89	$201.03