Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.03 / $101.03 / $143.70	Facility		$101.03	$101.03	$143.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $101.03 / $117.20	Professional		$101.03	$101.03	$117.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.03 / $115.73 / $252.58	Facility		$101.03	$115.73	$252.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $101.03 / $115.85	Professional		$101.03	$101.03	$115.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.03 / $101.03 / $101.03	Facility		$101.03	$101.03	$101.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $101.03 / $109.61	Professional		$101.03	$101.03	$109.61
United Facility/Professional Facility Modifier Low / Median / High Price $205.12 / $205.12 / $232.01	Facility		$205.12	$205.12	$232.01
United Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $101.03 / $114.80	Professional		$101.03	$101.03	$114.80