Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.45 / $218.40 / $256.70	Facility		$52.45	$218.40	$256.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.45 / $61.49 / $108.86	Professional		$52.45	$61.49	$108.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.51 / $126.08 / $221.42	Facility		$43.51	$126.08	$221.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.56 / $47.47 / $68.31	Professional		$39.56	$47.47	$68.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.12 / $47.12 / $49.95	Facility		$47.12	$47.12	$49.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $49.95 / $49.95	Professional		$49.95	$49.95	$49.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $39.56 / $57.70 / $110.62	Facility		$39.56	$57.70	$110.62
United Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $49.95 / $49.95	Professional		$49.95	$49.95	$49.95