Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $147.91 / $251.19	Facility		$87.10	$147.91	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $109.65	Professional		$87.10	$87.10	$109.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $120.23 / $263.03	Facility		$91.20	$120.23	$263.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $117.49	Professional		$87.10	$87.10	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $87.10 / $102.33	Facility		$83.18	$87.10	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $89.13 / $112.20	Professional		$87.10	$89.13	$112.20
United Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $151.36	Facility		$87.10	$87.10	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $107.15	Professional		$87.10	$87.10	$107.15