Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $423.90 / $423.90 / $423.90	Professional		$423.90	$423.90	$423.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $163.36 / $64,999.99 / $94,999.99	Facility		$163.36	$64,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.36 / $163.36 / $163.36	Professional		$163.36	$163.36	$163.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.77 / $176.77 / $176.77	Facility		$176.77	$176.77	$176.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.77 / $176.77 / $176.77	Professional		$176.77	$176.77	$176.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $176.77 / $176.77 / $176.77	Facility		$176.77	$176.77	$176.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.72 / $109.72 / $176.77	Professional		$109.72	$109.72	$176.77
United Facility/Professional Professional Modifier Low / Median / High Price $51.20 / $51.20 / $121.91	Professional		$51.20	$51.20	$121.91