Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.99 / $24.99 / $24.99	Professional		$24.99	$24.99	$24.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $111.01 / $244.23 / $254.54	Facility		$111.01	$244.23	$254.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.68 / $17.68 / $17.68	Professional		$17.68	$17.68	$17.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.97 / $23.97 / $23.97	Facility		$23.97	$23.97	$23.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $16.52 / $22.42	Professional		$9.94	$16.52	$22.42
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $23.97 / $23.97 / $23.97	Facility		$23.97	$23.97	$23.97
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $16.52 / $22.42	Professional		$9.94	$16.52	$22.42
United Facility/Professional Professional Modifier Low / Median / High Price $8.59 / $12.01 / $28.01	Professional		$8.59	$12.01	$28.01