Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $257.04 / $776.25	Facility		$112.20	$257.04	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $128.82 / $194.98	Professional		$114.82	$128.82	$194.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $229.09 / $407.38	Facility		$117.49	$229.09	$407.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $169.82 / $223.87	Professional		$93.33	$169.82	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $407.38 / $933.25	Facility		$104.71	$407.38	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $72.44 / $234.42	Professional		$42.66	$72.44	$234.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $141.25 / $213.80	Facility		$83.18	$141.25	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $162.18 / $194.98	Facility		$144.54	$162.18	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $81.28 / $162.18	Professional		$48.98	$81.28	$162.18