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 / $127.75 / $133.24	Professional		$109.73	$127.75	$133.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.94 / $286.54 / $611.33	Facility		$50.94	$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 Facility Modifier Low / Median / High Price $43.33 / $110.53 / $194.98	Facility		$43.33	$110.53	$194.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.28 / $14.34 / $111.13	Professional		$13.28	$14.34	$111.13
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 $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 / $188.10	Professional		$65.84	$94.05	$188.10