Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $151.36 / $288.40	Facility		$104.71	$151.36	$288.40
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $91.20 / $199.53 / $524.81	Facility	25	$91.20	$199.53	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $125.89 / $239.88	Professional		$87.10	$125.89	$239.88
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $102.33 / $138.04 / $229.09	Professional	25	$102.33	$138.04	$229.09
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $123.03 / $123.03 / $123.03	Professional	52	$123.03	$123.03	$123.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $154.88 / $169.82	Facility		$125.89	$154.88	$169.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $120.23 / $199.53	Professional		$83.18	$120.23	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $467.74	Facility		$204.17	$204.17	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $158.49	Professional		$117.49	$117.49	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $138.04 / $151.36	Facility		$91.20	$138.04	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $128.82 / $218.78	Professional		$93.33	$128.82	$218.78