Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.90 / $89.26 / $168.05	Facility		$75.90	$89.26	$168.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.90 / $76.66 / $106.27	Professional		$75.90	$76.66	$106.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.91 / $126.31 / $241.35	Facility		$75.91	$126.31	$241.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.91 / $75.91 / $75.91	Professional		$75.91	$75.91	$75.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.61 / $75.91 / $75.91	Facility		$71.61	$75.91	$75.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.91 / $75.91 / $75.91	Professional		$75.91	$75.91	$75.91
United Facility/Professional Facility Modifier Low / Median / High Price $54.40 / $54.40 / $54.40	Facility		$54.40	$54.40	$54.40
United Facility/Professional Professional Modifier Low / Median / High Price $75.91 / $75.91 / $85.21	Professional		$75.91	$75.91	$85.21