Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.28 / $566.27 / $3,962.78	Facility		$96.28	$566.27	$3,962.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $55.73 / $85.98	Professional		$53.08	$55.73	$85.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.23 / $127.51 / $393.97	Facility		$48.23	$127.51	$393.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $56.31 / $73.23	Professional		$53.08	$56.31	$73.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.49 / $47.49 / $47.49	Facility		$47.49	$47.49	$47.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.49 / $47.49 / $47.49	Professional		$47.49	$47.49	$47.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $44.55 / $57.28 / $134.82	Facility		$44.55	$57.28	$134.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $91.79 / $91.79 / $91.79	Professional		$91.79	$91.79	$91.79
United Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $53.08 / $53.08	Professional		$53.08	$53.08	$53.08