Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $48.00 / $204.00	Facility		$40.00	$48.00	$204.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $45.00 / $158.00	Professional		$38.00	$45.00	$158.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $121.80 / $121.80 / $133.97	Facility		$121.80	$121.80	$133.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.00 / $116.00 / $116.00	Professional		$116.00	$116.00	$116.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.00 / $114.00 / $159.00	Professional		$96.00	$114.00	$159.00
United Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $12.00 / $12.00	Professional		$12.00	$12.00	$12.00