Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.93 / $96.00 / $172.22	Facility		$78.93	$96.00	$172.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $79.72 / $94.90	Professional		$78.93	$79.72	$94.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.93 / $131.34 / $250.96	Facility		$79.93	$131.34	$250.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $78.93 / $78.93	Professional		$78.93	$78.93	$78.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.47 / $78.93 / $78.93	Facility		$74.47	$78.93	$78.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $78.93 / $78.93	Professional		$78.93	$78.93	$78.93
United Facility/Professional Facility Modifier Low / Median / High Price $168.25 / $185.39 / $185.39	Facility		$168.25	$185.39	$185.39
United Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $78.93 / $85.72	Professional		$78.93	$78.93	$85.72