Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $181.97	Facility		$147.91	$147.91	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $134.90 / $199.53	Professional		$123.03	$134.90	$199.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $123.03 / $123.03	Facility		$117.49	$123.03	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
United Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $181.97	Professional		$123.03	$123.03	$181.97