Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $263.03 / $512.86	Facility		$74.13	$263.03	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $85.11 / $117.49	Professional		$74.13	$85.11	$117.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $707.95	Facility		$660.69	$660.69	$707.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $114.82 / $151.36	Professional		$107.15	$114.82	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $263.03 / $616.60	Facility		$69.18	$263.03	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $95.50 / $194.98	Facility		$79.43	$95.50	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $107.15 / $128.82	Facility		$95.50	$107.15	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $64.57 / $107.15	Professional		$44.67	$64.57	$107.15