Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.69 / $582.00 / $3,940.00	Facility		$117.69	$582.00	$3,940.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.17 / $105.40 / $172.26	Professional		$59.17	$105.40	$172.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $764.00 / $1,500.00 / $2,257.00	Facility		$764.00	$1,500.00	$2,257.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.75 / $120.84 / $200.02	Professional		$68.75	$120.84	$200.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.78 / $130.87 / $240.78	Professional		$69.78	$130.87	$240.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $492.96 / $509.10	Facility		$55.00	$492.96	$509.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $619.00 / $1,072.34 / $1,126.65	Professional		$619.00	$1,072.34	$1,126.65
United Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $794.00 / $2,577.00	Facility		$294.00	$794.00	$2,577.00
United Facility/Professional Professional Modifier Low / Median / High Price $119.85 / $166.07 / $310.85	Professional		$119.85	$166.07	$310.85