Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.09 / $124.66 / $325.20	Facility		$75.09	$124.66	$325.20
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $107.28 / $255.78 / $430.90	Facility	25	$107.28	$255.78	$430.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.09 / $111.93 / $261.54	Professional		$66.09	$111.93	$261.54
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $59.06 / $132.03 / $311.60	Professional	25	$59.06	$132.03	$311.60
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $94.50 / $94.50 / $287.60	Professional	50	$94.50	$94.50	$287.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.88 / $189.41 / $265.00	Facility		$106.88	$189.41	$265.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.45 / $113.75 / $189.73	Professional		$78.45	$113.75	$189.73
BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $76.31 / $76.31 / $76.31	Professional	25	$76.31	$76.31	$76.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $146.00 / $185.30	Facility		$120.00	$146.00	$185.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.23 / $126.79 / $211.34	Professional		$80.23	$126.79	$211.34
United Facility/Professional Facility Modifier Low / Median / High Price $147.38 / $147.38 / $147.38	Facility		$147.38	$147.38	$147.38
United Facility/Professional Professional Modifier Low / Median / High Price $85.67 / $119.27 / $202.50	Professional		$85.67	$119.27	$202.50