Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.75 / $787.75 / $787.75	Facility		$787.75	$787.75	$787.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $101.38 / $112.34	Professional		$95.90	$101.38	$112.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $137.00 / $161.36 / $175.36	Facility		$137.00	$161.36	$175.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.75 / $102.75 / $167.40	Professional		$102.75	$102.75	$167.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.61 / $363.61 / $363.61	Facility		$363.61	$363.61	$363.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.01 / $181.98 / $370.31	Professional		$68.01	$181.98	$370.31
United Facility/Professional Facility Modifier Low / Median / High Price $164.40 / $164.40 / $164.40	Facility		$164.40	$164.40	$164.40
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $82.20 / $197.60	Professional		$57.54	$82.20	$197.60