Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.02 / $53.02 / $95.61	Facility		$53.02	$53.02	$95.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.89 / $53.02 / $95.61	Professional		$28.89	$53.02	$95.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $250.71 / $304.25 / $409.31	Facility		$250.71	$304.25	$409.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.47 / $47.20 / $76.51	Professional		$35.47	$47.20	$76.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.84 / $60.94 / $186.00	Professional		$33.84	$60.94	$186.00
United Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $896.00 / $1,670.00	Facility		$250.00	$896.00	$1,670.00
United Facility/Professional Professional Modifier Low / Median / High Price $48.18 / $59.68 / $99.96	Professional		$48.18	$59.68	$99.96