Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.50 / $84.50 / $572.49	Facility		$84.50	$84.50	$572.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.50 / $84.50 / $84.50	Professional		$84.50	$84.50	$84.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $825.76 / $825.76 / $882.47	Facility		$825.76	$825.76	$882.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.72 / $130.00 / $170.47	Professional		$120.72	$130.00	$170.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $219.40 / $349.98 / $688.34	Facility		$219.40	$349.98	$688.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.47 / $92.81 / $157.50	Professional		$63.47	$92.81	$157.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $91.75 / $111.77 / $187.78	Facility		$91.75	$111.77	$187.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $69.04 / $70.68 / $169.87	Professional		$69.04	$70.68	$169.87
United Facility/Professional Professional Modifier Low / Median / High Price $50.70 / $72.43 / $163.16	Professional		$50.70	$72.43	$163.16