Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $151.36 / $39,810.72	Facility		$81.28	$151.36	$39,810.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $104.71	Professional		$81.28	$81.28	$104.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $112.20 / $229.09	Facility		$87.10	$112.20	$229.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $114.82	Professional		$81.28	$81.28	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $81.28 / $114.82	Facility		$77.62	$81.28	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $95.50	Professional		$81.28	$81.28	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $138.04	Facility		$81.28	$81.28	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $81.28 / $93.33	Professional		$77.62	$81.28	$93.33