Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $158.49 / $173.78	Professional		$125.89	$158.49	$173.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $177.83 / $194.98	Facility		$138.04	$177.83	$194.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $87.10 / $114.82	Professional		$74.13	$87.10	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $218.78 / $426.58	Facility		$123.03	$218.78	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $177.83 / $218.78	Professional		$89.13	$177.83	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $91.20 / $223.87	Professional		$64.57	$91.20	$223.87