Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.61 / $312.02 / $447.31	Facility		$204.61	$312.02	$447.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.61 / $204.61 / $248.39	Professional		$204.61	$204.61	$248.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.28 / $232.39 / $235.37	Professional		$205.28	$232.39	$235.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.61 / $204.61 / $204.61	Facility		$204.61	$204.61	$204.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.61 / $204.61 / $204.61	Professional		$204.61	$204.61	$204.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $246.33 / $1,023.05 / $1,026.20	Facility		$246.33	$1,023.05	$1,026.20
United Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $204.61 / $204.61	Professional		$81.84	$204.61	$204.61