Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.51 / $1,821.00 / $6,681.00	Facility		$81.51	$1,821.00	$6,681.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.32 / $76.40 / $118.61	Professional		$36.32	$76.40	$118.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $764.00 / $1,487.00 / $2,244.00	Facility		$764.00	$1,487.00	$2,244.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.05 / $79.73 / $169.99	Professional		$44.05	$79.73	$169.99
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 $44.89 / $82.28 / $148.34	Professional		$44.89	$82.28	$148.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $198.17 / $198.17	Facility		$55.00	$198.17	$198.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $335.85 / $628.08 / $741.08	Professional		$335.85	$628.08	$741.08
United Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $808.00 / $2,577.00	Facility		$294.00	$808.00	$2,577.00
United Facility/Professional Professional Modifier Low / Median / High Price $52.59 / $87.04 / $167.62	Professional		$52.59	$87.04	$167.62