Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.29 / $223.29 / $785.65	Facility		$223.29	$223.29	$785.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $368.97 / $68,999.99 / $94,999.99	Facility		$368.97	$68,999.99	$94,999.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $399.26 / $399.26 / $399.26	Facility		$399.26	$399.26	$399.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $399.26 / $399.26 / $399.26	Professional		$399.26	$399.26	$399.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $399.26 / $399.26 / $399.26	Facility		$399.26	$399.26	$399.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $247.82 / $247.82 / $399.26	Professional		$247.82	$247.82	$399.26
United Facility/Professional Professional Modifier Low / Median / High Price $115.65 / $115.65 / $275.35	Professional		$115.65	$115.65	$275.35