Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $933.25	Facility		$134.90	$134.90	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $154.88	Professional		$134.90	$134.90	$154.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $165.96 / $426.58	Facility		$134.90	$165.96	$426.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $134.90 / $208.93	Professional		$125.89	$134.90	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $134.90 / $263.03	Facility		$125.89	$134.90	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $173.78	Professional		$134.90	$134.90	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $186.21 / $436.52	Facility		$138.04	$186.21	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $134.90 / $138.04	Professional		$125.89	$134.90	$138.04