Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.88 / $82.88 / $332.94	Facility		$82.88	$82.88	$332.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.93 / $82.88 / $82.88	Professional		$81.93	$82.88	$82.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.05 / $103.69 / $163.01	Facility		$69.05	$103.69	$163.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $96.00 / $108.94	Professional		$78.93	$96.00	$108.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.47 / $74.47 / $78.93	Facility		$74.47	$74.47	$78.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $78.93 / $78.93	Professional		$78.93	$78.93	$78.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $82.88 / $96.00 / $200.86	Facility		$82.88	$96.00	$200.86
United Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $78.93 / $78.93	Professional		$78.93	$78.93	$78.93