Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $426.58 / $15,488.17	Facility		$199.53	$426.58	$15,488.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $204.17 / $588.84	Professional		$199.53	$204.17	$588.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $275.42 / $549.54	Facility		$213.80	$275.42	$549.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $275.42	Professional		$199.53	$199.53	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $199.53 / $288.40	Facility		$186.21	$199.53	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $204.17 / $257.04	Professional		$199.53	$204.17	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $204.17 / $371.54	Facility		$199.53	$204.17	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $208.93 / $269.15	Professional		$199.53	$208.93	$269.15