Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $134.90 / $165.96	Professional		$112.20	$134.90	$165.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $162.18 / $194.98	Professional		$128.82	$162.18	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $134.90 / $154.88	Professional		$114.82	$134.90	$154.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $1,047.13 / $1,047.13	Facility		$213.80	$1,047.13	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $77.62 / $123.03	Facility		$9.12	$77.62	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $104.71 / $144.54	Professional		$63.10	$104.71	$144.54