Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.48 / $260.69 / $424.72	Facility		$170.48	$260.69	$424.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.48 / $172.18 / $220.52	Professional		$170.48	$172.18	$220.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $170.48 / $280.81 / $545.54	Facility		$170.48	$280.81	$545.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.48 / $170.48 / $173.88	Professional		$170.48	$170.48	$173.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.83 / $170.48 / $170.48	Facility		$160.83	$170.48	$170.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.48 / $170.48 / $170.48	Professional		$170.48	$170.48	$170.48
United Facility/Professional Facility Modifier Low / Median / High Price $662.38 / $730.58 / $730.58	Facility		$662.38	$730.58	$730.58
United Facility/Professional Professional Modifier Low / Median / High Price $170.48 / $170.48 / $223.33	Professional		$170.48	$170.48	$223.33