Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $144.54 / $251.19	Facility		$87.10	$144.54	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $112.20	Professional		$87.10	$87.10	$112.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $120.23 / $239.88	Facility		$91.20	$120.23	$239.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $120.23	Professional		$87.10	$87.10	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $87.10 / $177.83	Facility		$81.28	$87.10	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $97.72	Professional		$87.10	$87.10	$97.72
United Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $125.89 / $229.09	Facility		$117.49	$125.89	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $93.33 / $117.49	Professional		$87.10	$93.33	$117.49