Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.25 / $205.65 / $359.06	Facility		$164.25	$205.65	$359.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $164.25 / $197.48	Professional		$164.25	$164.25	$197.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $164.25 / $262.58 / $522.23	Facility		$164.25	$262.58	$522.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $164.25 / $170.45	Professional		$164.25	$164.25	$170.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.96 / $164.25 / $164.25	Facility		$154.96	$164.25	$164.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $164.25 / $178.20	Professional		$164.25	$164.25	$178.20
United Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $164.25 / $195.46	Professional		$164.25	$164.25	$195.46