Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.04 / $80.04 / $81.64	Facility		$80.04	$80.04	$81.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $80.04 / $88.04	Professional		$80.04	$80.04	$88.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.04 / $92.88 / $157.13	Facility		$80.04	$92.88	$157.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $80.04 / $113.65	Professional		$80.04	$80.04	$113.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.77 / $80.04 / $80.04	Facility		$77.77	$80.04	$80.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $80.04 / $86.84	Professional		$80.04	$80.04	$86.84
United Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $80.04 / $97.65	Professional		$80.04	$80.04	$97.65