Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $181.97	Facility		$112.20	$112.20	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $141.25	Professional		$112.20	$112.20	$141.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $141.25 / $354.81	Facility		$112.20	$141.25	$354.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $125.89 / $1,047.13	Professional		$112.20	$125.89	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $112.20 / $707.95	Facility		$107.15	$112.20	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $213.80	Professional		$112.20	$112.20	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $257.04 / $489.78	Facility		$177.83	$257.04	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $177.83 / $812.83	Professional		$125.89	$177.83	$812.83