Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $128.82	Facility		$91.20	$91.20	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $109.65	Professional		$91.20	$91.20	$109.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $114.82 / $295.12	Facility		$91.20	$114.82	$295.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $134.90 / $199.53	Professional		$91.20	$134.90	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $91.20 / $151.36	Facility		$87.10	$91.20	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $91.20 / $91.20	Professional		$87.10	$91.20	$91.20
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $112.20 / $323.59	Facility		$69.18	$112.20	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $125.89 / $154.88	Professional		$91.20	$125.89	$154.88