Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.09 / $120.99 / $143.34	Facility		$113.09	$120.99	$143.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.09 / $120.25 / $157.96	Professional		$103.09	$120.25	$157.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $201.70 / $254.15 / $403.40	Facility		$201.70	$254.15	$403.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.85 / $122.85 / $173.93	Professional		$122.85	$122.85	$173.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.19 / $136.19 / $147.01	Facility		$136.19	$136.19	$147.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.43 / $136.19 / $161.72	Professional		$99.43	$136.19	$161.72
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $84.34 / $104.44 / $167.71	Professional		$84.34	$104.44	$167.71