Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.75 / $89.75 / $90.64	Facility		$89.75	$89.75	$90.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.75 / $89.75 / $94.23	Professional		$89.75	$89.75	$94.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.54 / $89.75 / $161.80	Facility		$79.54	$89.75	$161.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.75 / $89.75 / $90.64	Professional		$89.75	$89.75	$90.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.67 / $89.75 / $89.75	Facility		$84.67	$89.75	$89.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.75 / $89.75 / $89.75	Professional		$89.75	$89.75	$89.75
United Facility/Professional Facility Modifier Low / Median / High Price $89.75 / $89.75 / $89.75	Facility		$89.75	$89.75	$89.75
United Facility/Professional Professional Modifier Low / Median / High Price $89.75 / $89.75 / $102.32	Professional		$89.75	$89.75	$102.32