Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.28 / $42.28 / $243.11	Facility		$42.28	$42.28	$243.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $42.28 / $44.29	Professional		$42.28	$42.28	$44.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.28 / $42.28 / $42.28	Facility		$42.28	$42.28	$42.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $42.28 / $42.28	Professional		$42.28	$42.28	$42.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $164.23 / $164.23 / $164.23	Facility		$164.23	$164.23	$164.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $48.57 / $60.71	Professional		$42.28	$48.57	$60.71
United Facility/Professional Professional Modifier Low / Median / High Price $14.80 / $42.22 / $63.71	Professional		$14.80	$42.22	$63.71