Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $104.71 / $1,174.90	Facility		$102.33	$104.71	$1,174.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $104.71 / $104.71	Professional		$102.33	$104.71	$104.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $131.83 / $331.13	Facility		$104.71	$131.83	$331.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $50.12 / $131.83	Professional		$35.48	$50.12	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $61.66 / $100.00	Professional		$58.88	$61.66	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Facility		$43.65	$43.65	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $104.71 / $208.93	Professional		$70.79	$104.71	$208.93