Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $125.89	Facility		$89.13	$89.13	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $107.15	Professional		$89.13	$89.13	$107.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $112.20 / $380.19	Facility		$89.13	$112.20	$380.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $97.72 / $1,584.89	Professional		$89.13	$97.72	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $89.13 / $208.93	Facility		$85.11	$89.13	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $93.33	Professional		$89.13	$89.13	$93.33
United Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $104.71 / $199.53	Facility		$72.44	$104.71	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $125.89 / $1,659.59	Professional		$89.13	$125.89	$1,659.59