Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.90 / $115.90 / $115.90	Facility		$115.90	$115.90	$115.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.40 / $320.45 / $628.05	Professional		$190.40	$320.45	$628.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47,000.00 / $77,999.99 / $94,999.99	Facility		$47,000.00	$77,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $286.93 / $337.56 / $605.72	Professional		$286.93	$337.56	$605.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $337.56 / $337.56 / $337.56	Facility		$337.56	$337.56	$337.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $286.93 / $359.68 / $605.20	Professional		$286.93	$359.68	$605.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $188.70 / $343.41 / $592.04	Facility		$188.70	$343.41	$592.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $285.98 / $406.40 / $721.23	Professional		$285.98	$406.40	$721.23
United Facility/Professional Professional Modifier Low / Median / High Price $519.40 / $614.79 / $671.83	Professional		$519.40	$614.79	$671.83