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 $59.40 / $168.30 / $1,279.39	Facility		$59.40	$168.30	$1,279.39
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 Professional Modifier Low / Median / High Price $64.90 / $92.71 / $233.06	Professional		$64.90	$92.71	$233.06
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 $5.92 / $6.39 / $93.42	Professional		$5.92	$6.39	$93.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.58 / $85.58 / $121.24	Professional		$85.58	$85.58	$121.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.69 / $240.12 / $415.80	Facility		$126.69	$240.12	$415.80
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 $142.63 / $142.63 / $213.94	Facility		$142.63	$142.63	$213.94
United Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $85.58 / $188.27	Professional		$59.90	$85.58	$188.27