Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $109.65 / $269.15	Facility		$63.10	$109.65	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $70.79 / $154.88	Professional		$53.70	$70.79	$154.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $169.82 / $363.08	Facility		$63.10	$169.82	$363.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $87.10 / $169.82	Professional		$56.23	$87.10	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $169.82 / $371.54	Facility		$63.10	$169.82	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $107.15 / $199.53	Professional		$63.10	$107.15	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $66.07 / $154.88	Facility		$12.88	$66.07	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $83.18 / $165.96	Professional		$63.10	$83.18	$165.96