Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.38 / $220.51 / $302.23	Facility		$101.38	$220.51	$302.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.38 / $133.24 / $230.42	Professional		$101.38	$133.24	$230.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $649.00 / $1,354.00 / $2,065.00	Facility		$649.00	$1,354.00	$2,065.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.78 / $173.67 / $267.36	Professional		$121.78	$173.67	$267.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Facility		$30.00	$30.00	$30.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.93 / $181.89 / $288.07	Professional		$126.93	$181.89	$288.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $551.57 / $551.57	Facility		$55.00	$551.57	$551.57
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $819.92 / $1,070.40 / $1,221.45	Professional		$819.92	$1,070.40	$1,221.45
United Facility/Professional Facility Modifier Low / Median / High Price $267.00 / $794.00 / $2,495.00	Facility		$267.00	$794.00	$2,495.00
United Facility/Professional Professional Modifier Low / Median / High Price $126.08 / $164.27 / $307.39	Professional		$126.08	$164.27	$307.39