Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.23 / $123.23 / $497.49	Facility		$123.23	$123.23	$497.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.73 / $123.23 / $189.85	Professional		$109.73	$123.23	$189.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.95 / $138.74 / $220.86	Facility		$81.95	$138.74	$220.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.00 / $139.35 / $160.80	Professional		$115.00	$139.35	$160.80
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
Medcost Facility/Professional Facility Modifier Low / Median / High Price $123.23 / $135.55 / $284.83	Facility		$123.23	$135.55	$284.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $186.67 / $186.67 / $186.67	Professional		$186.67	$186.67	$186.67
United Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $117.36 / $117.36	Professional		$117.36	$117.36	$117.36