Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.19 / $134.19 / $160.88	Facility		$134.19	$134.19	$160.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.76 / $134.19 / $134.19	Professional		$131.76	$134.19	$134.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $119.72 / $226.60 / $424.09	Facility		$119.72	$226.60	$424.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.19 / $185.20 / $207.15	Professional		$134.19	$185.20	$207.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.60 / $177.04 / $177.04	Facility		$126.60	$177.04	$177.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.04 / $177.04 / $177.04	Professional		$177.04	$177.04	$177.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $87.23 / $134.44 / $355.42	Facility		$87.23	$134.44	$355.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $237.28 / $237.28 / $237.28	Professional		$237.28	$237.28	$237.28
United Facility/Professional Professional Modifier Low / Median / High Price $134.19 / $147.61 / $195.02	Professional		$134.19	$147.61	$195.02