Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.82 / $6,742.12 / $13,893.75	Facility		$172.82	$6,742.12	$13,893.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $172.82 / $226.03	Professional		$164.59	$172.82	$226.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.54 / $222.80 / $355.19	Facility		$128.54	$222.80	$355.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.17 / $205.81 / $255.41	Professional		$171.17	$205.81	$255.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $155.27 / $164.59 / $164.59	Facility		$155.27	$164.59	$164.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $164.59 / $164.59	Professional		$164.59	$164.59	$164.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $172.82 / $207.38 / $424.94	Facility		$172.82	$207.38	$424.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $293.02 / $293.02 / $293.02	Professional		$293.02	$293.02	$293.02
United Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $164.59 / $181.05	Professional		$164.59	$164.59	$181.05