Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.67 / $205.82 / $427.89	Facility		$117.67	$205.82	$427.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.84 / $115.53 / $134.07	Professional		$99.84	$115.53	$134.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $140.32 / $151.90 / $431.21	Facility		$140.32	$151.90	$431.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $166.87 / $199.68 / $252.45	Facility		$166.87	$199.68	$252.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $188.27 / $1,279.39	Facility		$59.40	$188.27	$1,279.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.58 / $85.58 / $121.24	Professional		$85.58	$85.58	$121.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $142.63 / $142.63	Professional		$142.63	$142.63	$142.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $142.63 / $216.80	Professional		$142.63	$142.63	$216.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.88 / $20.21 / $134.07	Professional		$19.88	$20.21	$134.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.90 / $92.71 / $233.06	Professional		$64.90	$92.71	$233.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.29 / $239.19 / $417.20	Facility		$127.29	$239.19	$417.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.60 / $173.80 / $208.23	Professional		$165.60	$173.80	$208.23
United Facility/Professional Facility Modifier Low / Median / High Price $128.37 / $128.37 / $128.37	Facility		$128.37	$128.37	$128.37
United Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $85.58 / $188.37	Professional		$59.90	$85.58	$188.37