Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $125.89 / $2,344.23	Facility		$123.03	$125.89	$2,344.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $165.96	Professional		$123.03	$123.03	$165.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $158.49 / $389.05	Facility		$123.03	$158.49	$389.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $125.89 / $295.12	Professional		$123.03	$125.89	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $123.03 / $251.19	Facility		$117.49	$123.03	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $162.18	Professional		$123.03	$123.03	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $213.80 / $1,023.29	Facility		$128.82	$213.80	$1,023.29
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $128.82 / $223.87	Professional		$125.89	$128.82	$223.87