Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.45 / $170.66 / $275.39	Facility		$127.45	$170.66	$275.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $127.45 / $153.00	Professional		$127.45	$127.45	$153.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.45 / $205.19 / $384.30	Facility		$127.45	$205.19	$384.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $127.45 / $127.45	Professional		$127.45	$127.45	$127.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.24 / $127.45 / $127.45	Facility		$120.24	$127.45	$127.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $127.45 / $127.45	Professional		$127.45	$127.45	$127.45
United Facility/Professional Facility Modifier Low / Median / High Price $135.37 / $135.37 / $160.38	Facility		$135.37	$135.37	$160.38
United Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $127.45 / $172.43	Professional		$127.45	$127.45	$172.43