Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $223.87 / $588.84	Facility		$112.20	$223.87	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $141.25 / $524.81	Professional		$112.20	$141.25	$524.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $151.36 / $316.23	Facility		$120.23	$151.36	$316.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $169.82	Professional		$112.20	$112.20	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $112.20 / $223.87	Facility		$104.71	$112.20	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $114.82 / $144.54	Professional		$112.20	$114.82	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $114.82 / $234.42	Facility		$112.20	$114.82	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $162.18	Professional		$112.20	$112.20	$162.18