Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.16 / $43.58 / $90.21	Facility		$25.16	$43.58	$90.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.90 / $24.27 / $27.96	Professional		$21.90	$24.27	$27.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.63 / $42.92 / $52.39	Facility		$34.63	$42.92	$52.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.66 / $90.30 / $297.00	Facility		$49.66	$90.30	$297.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.08 / $90.58 / $164.58	Facility		$31.08	$90.58	$164.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.12 / $32.05 / $89.49	Facility		$29.12	$32.05	$89.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.76 / $17.76 / $27.96	Professional		$17.76	$17.76	$27.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.62 / $14.62 / $38.57	Professional		$14.62	$14.62	$38.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.60 / $29.60 / $29.60	Professional		$29.60	$29.60	$29.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.60 / $29.60 / $44.99	Professional		$29.60	$29.60	$44.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.47 / $19.23 / $57.96	Professional		$13.47	$19.23	$57.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.09 / $50.02 / $86.58	Facility		$28.09	$50.02	$86.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.60 / $36.34 / $43.53	Professional		$29.60	$36.34	$43.53
United Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $17.76 / $37.82	Professional		$12.43	$17.76	$37.82