Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.03 / $217.40 / $2,750.00	Facility		$173.03	$217.40	$2,750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $174.75 / $218.01	Professional		$173.03	$174.75	$218.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.03 / $275.38 / $526.80	Facility		$173.03	$275.38	$526.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $173.03 / $193.17	Professional		$173.03	$173.03	$193.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.24 / $173.03 / $173.03	Facility		$163.24	$173.03	$173.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $173.03 / $187.72	Professional		$173.03	$173.03	$187.72
United Facility/Professional Facility Modifier Low / Median / High Price $173.03 / $173.03 / $173.03	Facility		$173.03	$173.03	$173.03
United Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $173.03 / $206.53	Professional		$173.03	$173.03	$206.53