Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.36 / $140.73 / $257.32	Facility		$117.36	$140.73	$257.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $118.53 / $142.03	Professional		$117.36	$118.53	$142.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.33 / $195.28 / $373.14	Facility		$118.33	$195.28	$373.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $117.36 / $117.36	Professional		$117.36	$117.36	$117.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.72 / $117.36 / $117.36	Facility		$110.72	$117.36	$117.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $117.36 / $117.36	Professional		$117.36	$117.36	$117.36
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $130.00 / $130.00	Facility		$130.00	$130.00	$130.00
United Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $117.36 / $125.91	Professional		$117.36	$117.36	$125.91