Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $22.91 / $40.74	Facility		$12.88	$22.91	$40.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.88 / $15.85	Professional		$12.02	$12.88	$15.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $162.18 / $407.38	Facility		$128.82	$162.18	$407.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $15.14 / $91.20	Professional		$13.18	$15.14	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $41.69	Facility		$13.18	$13.18	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $15.49	Professional		$13.18	$13.18	$15.49
United Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $16.22 / $16.22	Facility		$13.18	$16.22	$16.22
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $15.85	Professional		$13.18	$13.18	$15.85