Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.23 / $174.12 / $687.51	Facility		$109.23	$174.12	$687.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.22 / $174.12 / $262.37	Professional		$139.22	$174.12	$262.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.70 / $137.13 / $219.82	Facility		$70.70	$137.13	$219.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.28 / $190.96 / $208.54	Professional		$157.28	$190.96	$208.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $156.44 / $165.83 / $165.83	Facility		$156.44	$165.83	$165.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.83 / $165.83 / $165.83	Professional		$165.83	$165.83	$165.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $174.12 / $191.53 / $398.96	Facility		$174.12	$191.53	$398.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $219.03 / $219.03 / $219.03	Professional		$219.03	$219.03	$219.03
United Facility/Professional Professional Modifier Low / Median / High Price $165.83 / $165.83 / $165.83	Professional		$165.83	$165.83	$165.83