Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $60.68 / $144.05	Facility		$42.13	$60.68	$144.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.13 / $42.13	Professional		$42.13	$42.13	$42.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.66 / $112.39 / $196.93	Facility		$55.66	$112.39	$196.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $42.13 / $42.13	Facility		$42.13	$42.13	$42.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.11 / $60.13 / $90.00	Facility		$19.11	$60.13	$90.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.70 / $15.20 / $34.40	Facility		$5.70	$15.20	$34.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.80 / $30.86 / $51.43	Professional		$28.80	$30.86	$51.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.40 / $2.00 / $5.00	Professional		$1.40	$2.00	$5.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $51.43 / $51.43	Professional		$3.50	$51.43	$51.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.43 / $51.43 / $51.43	Professional		$51.43	$51.43	$51.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.57 / $30.98 / $48.33	Professional		$20.57	$30.98	$48.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.32 / $59.51 / $141.71	Facility		$35.32	$59.51	$141.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $59.10 / $73.88	Professional		$42.13	$59.10	$73.88
United Facility/Professional Facility Modifier Low / Median / High Price $37.92 / $37.92 / $37.92	Facility		$37.92	$37.92	$37.92
United Facility/Professional Professional Modifier Low / Median / High Price $17.73 / $23.14 / $51.43	Professional		$17.73	$23.14	$51.43