Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.85 / $159.44 / $322.95	Facility		$108.85	$159.44	$322.95
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $179.78 / $301.35 / $397.27	Facility	25	$179.78	$301.35	$397.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.79 / $164.81 / $370.00	Professional		$105.79	$164.81	$370.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $120.10 / $194.42 / $471.29	Professional	25	$120.10	$194.42	$471.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $145.96 / $228.83 / $265.00	Facility		$145.96	$228.83	$265.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.39 / $169.96 / $263.33	Professional		$121.39	$169.96	$263.33
BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $125.65 / $125.65 / $125.65	Professional	25	$125.65	$125.65	$125.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $159.50 / $211.14	Facility		$125.00	$159.50	$211.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.73 / $187.37 / $315.18	Professional		$126.73	$187.37	$315.18
United Facility/Professional Facility Modifier Low / Median / High Price $188.95 / $188.95 / $188.95	Facility		$188.95	$188.95	$188.95
United Facility/Professional Professional Modifier Low / Median / High Price $136.82 / $180.40 / $309.04	Professional		$136.82	$180.40	$309.04