Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $218.78	Professional		$169.82	$169.82	$218.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,964.78 / $12,882.50 / $17,378.01	Facility		$10,964.78	$12,882.50	$17,378.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $165.96 / $173.78	Facility		$162.18	$165.96	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $169.82 / $169.82	Professional		$154.88	$169.82	$169.82