Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.27 / $89.67 / $186.42	Facility		$51.27	$89.67	$186.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.29 / $50.33 / $58.41	Professional		$46.29	$50.33	$58.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.50 / $68.34 / $187.87	Facility		$57.50	$68.34	$187.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.70 / $86.99 / $109.98	Facility		$72.70	$86.99	$109.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.90 / $100.00 / $566.10	Facility		$58.90	$100.00	$566.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.14 / $62.14 / $62.14	Professional		$62.14	$62.14	$62.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $45.77 / $67.37	Professional		$37.90	$45.77	$67.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.27 / $40.39 / $100.00	Professional		$28.27	$40.39	$100.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.29 / $37.28 / $73.63	Professional		$35.29	$37.28	$73.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.22 / $104.00 / $172.08	Facility		$47.22	$104.00	$172.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.45 / $71.45 / $89.31	Professional		$71.45	$71.45	$89.31
United Facility/Professional Facility Modifier Low / Median / High Price $59.03 / $62.14 / $83.88	Facility		$59.03	$62.14	$83.88
United Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $36.31 / $70.28	Professional		$26.10	$36.31	$70.28