Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.04 / $267.81 / $549.26	Facility		$161.04	$267.81	$549.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.72 / $122.15 / $140.69	Professional		$111.72	$122.15	$140.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $218.49 / $1,484.71	Facility		$59.40	$218.49	$1,484.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $232.52 / $278.23 / $351.76	Facility		$232.52	$278.23	$351.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $195.53 / $211.66 / $600.85	Facility		$195.53	$211.66	$600.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.24 / $119.24 / $144.68	Professional		$119.24	$119.24	$144.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.43 / $129.18 / $324.75	Professional		$90.43	$129.18	$324.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $74.32 / $182.92	Professional		$45.77	$74.32	$182.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.74 / $198.74 / $198.74	Professional		$198.74	$198.74	$198.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $145.61 / $285.83 / $473.70	Facility		$145.61	$285.83	$473.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.49 / $242.09 / $290.05	Professional		$147.49	$242.09	$290.05
United Facility/Professional Facility Modifier Low / Median / High Price $148.97 / $148.97 / $148.97	Facility		$148.97	$148.97	$148.97
United Facility/Professional Professional Modifier Low / Median / High Price $62.56 / $89.38 / $190.35	Professional		$62.56	$89.38	$190.35