Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $162.18	Facility		$138.04	$138.04	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $162.18	Professional		$138.04	$138.04	$162.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $173.78 / $436.52	Facility		$138.04	$173.78	$436.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $138.04 / $288.40	Professional		$125.89	$138.04	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $138.04 / $295.12	Facility		$128.82	$138.04	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $165.96	Professional		$138.04	$138.04	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $208.93 / $1,122.02	Facility		$128.82	$208.93	$1,122.02
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $134.90 / $302.00	Professional		$125.89	$134.90	$302.00