Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.24 / $231.05 / $430.61	Facility		$133.24	$231.05	$430.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.73 / $128.54 / $134.80	Professional		$109.73	$128.54	$134.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $119.06 / $286.54 / $611.33	Facility		$119.06	$286.54	$611.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $183.39 / $219.45 / $277.44	Facility		$183.39	$219.45	$277.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.05 / $94.05 / $133.24	Professional		$94.05	$94.05	$133.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.75 / $156.75 / $156.75	Professional		$156.75	$156.75	$156.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $6.39 / $156.75	Professional		$5.92	$6.39	$156.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.31 / $101.89 / $254.78	Professional		$71.31	$101.89	$254.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.04 / $243.21 / $481.34	Facility		$112.04	$243.21	$481.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.26 / $191.31 / $234.12	Professional		$191.26	$191.31	$234.12
United Facility/Professional Facility Modifier Low / Median / High Price $141.08 / $148.91 / $188.10	Facility		$141.08	$148.91	$188.10
United Facility/Professional Professional Modifier Low / Median / High Price $65.84 / $94.05 / $180.26	Professional		$65.84	$94.05	$180.26