Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.37 / $158.88 / $274.48	Facility		$113.37	$158.88	$274.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.59 / $145.66 / $229.00	Professional		$109.59	$145.66	$229.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $171.41 / $171.41 / $171.41	Professional	25	$171.41	$171.41	$171.41
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $130.00 / $130.00 / $130.00	Professional	52	$130.00	$130.00	$130.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.65 / $120.65 / $165.00	Facility		$120.65	$120.65	$165.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $154.27 / $217.07	Professional		$98.11	$154.27	$217.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.66 / $246.37 / $246.37	Facility		$200.66	$246.37	$246.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $147.94 / $253.03	Professional		$95.50	$147.94	$253.03
United Facility/Professional Facility Modifier Low / Median / High Price $197.93 / $197.93 / $197.93	Facility		$197.93	$197.93	$197.93
United Facility/Professional Professional Modifier Low / Median / High Price $112.84 / $168.69 / $274.04	Professional		$112.84	$168.69	$274.04