Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.97 / $104.97 / $423.75	Facility		$104.97	$104.97	$423.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.75 / $104.97 / $161.69	Professional		$100.75	$104.97	$161.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $129.13 / $207.76	Facility		$77.09	$129.13	$207.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.81 / $117.42 / $136.69	Professional		$99.81	$117.42	$136.69
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
Medcost Facility/Professional Facility Modifier Low / Median / High Price $104.97 / $117.42 / $251.16	Facility		$104.97	$117.42	$251.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $171.12 / $171.12 / $171.12	Professional		$171.12	$171.12	$171.12
United Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $99.97 / $109.97	Professional		$99.97	$99.97	$109.97