Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.97 / $120.87 / $217.64	Facility		$99.97	$120.87	$217.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $100.97 / $122.13	Professional		$99.97	$100.97	$122.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.97 / $161.84 / $308.23	Facility		$99.97	$161.84	$308.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $99.97 / $99.97	Professional		$99.97	$99.97	$99.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.31 / $99.97 / $99.97	Facility		$94.31	$99.97	$99.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $99.97 / $99.97	Professional		$99.97	$99.97	$99.97
United Facility/Professional Facility Modifier Low / Median / High Price $97.59 / $97.59 / $97.59	Facility		$97.59	$97.59	$97.59
United Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $99.97 / $109.97	Professional		$99.97	$99.97	$109.97