Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $89.77 / $167.66	Facility		$75.86	$89.77	$167.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $76.62 / $91.94	Professional		$75.86	$76.62	$91.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $122.81 / $241.19	Facility		$75.86	$122.81	$241.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.56 / $75.86 / $75.86	Facility		$71.56	$75.86	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $57.49 / $57.49 / $57.49	Facility		$57.49	$57.49	$57.49
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $87.14	Professional		$75.86	$75.86	$87.14