Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $537.03	Facility		$93.33	$93.33	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $97.72 / $316.23	Professional		$93.33	$97.72	$316.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $138.04 / $186.21	Facility		$114.82	$138.04	$186.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $309.03	Professional		$93.33	$93.33	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $93.33 / $97.72	Facility		$91.20	$93.33	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $93.33 / $93.33	Professional		$91.20	$93.33	$93.33