Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $123.03	Facility		$87.10	$87.10	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $112.20	Professional		$87.10	$87.10	$112.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $112.20 / $380.19	Facility		$87.10	$112.20	$380.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $169.82	Professional		$87.10	$87.10	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $87.10 / $245.47	Facility		$83.18	$87.10	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $117.49	Professional		$87.10	$87.10	$117.49
United Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $125.89 / $186.21	Facility		$95.50	$125.89	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $97.72 / $125.89	Professional		$87.10	$97.72	$125.89