Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $158.49 / $407.38	Facility		$104.71	$158.49	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $151.36 / $338.84	Professional		$109.65	$151.36	$338.84
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $144.54 / $676.08 / $676.08	Professional	25	$144.54	$676.08	$676.08
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $512.86 / $512.86 / $512.86	Professional	52	$512.86	$512.86	$512.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $204.17	Facility		$190.55	$190.55	$204.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $147.91 / $245.47	Professional		$83.18	$147.91	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $245.47 / $630.96	Facility		$125.89	$245.47	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $151.36 / $269.15	Professional		$97.72	$151.36	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $158.49 / $269.15	Facility		$109.65	$158.49	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $158.49 / $275.42	Professional		$109.65	$158.49	$275.42
United Facility/Professional Professional Modifier 52 Low / Median / High Price $100.00 / $138.04 / $138.04	Professional	52	$100.00	$138.04	$138.04