Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.13 / $262.81 / $462.66	Facility		$207.13	$262.81	$462.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.13 / $207.13 / $248.55	Professional		$207.13	$207.13	$248.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $207.13 / $334.03 / $658.56	Facility		$207.13	$334.03	$658.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.13 / $207.13 / $214.94	Professional		$207.13	$207.13	$214.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $195.40 / $207.13 / $207.13	Facility		$195.40	$207.13	$207.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.13 / $207.13 / $214.94	Professional		$207.13	$207.13	$214.94
United Facility/Professional Facility Modifier Low / Median / High Price $207.00 / $207.00 / $207.00	Facility		$207.00	$207.00	$207.00
United Facility/Professional Professional Modifier Low / Median / High Price $207.13 / $217.49 / $247.50	Professional		$207.13	$217.49	$247.50