Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $100.00	Professional		$87.10	$87.10	$100.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $95.50 / $95.50	Facility		$81.28	$95.50	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $95.50	Professional		$87.10	$87.10	$95.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $93.33 / $117.49	Professional		$87.10	$93.33	$117.49