Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.51 / $159.40 / $963.48	Professional		$96.51	$159.40	$963.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64,999.99 / $77,999.99 / $94,999.99	Facility		$64,999.99	$77,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.20 / $167.20 / $274.99	Professional		$167.20	$167.20	$274.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $167.20 / $167.20 / $167.20	Facility		$167.20	$167.20	$167.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.12 / $187.00 / $306.13	Professional		$142.12	$187.00	$306.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.63 / $164.77 / $305.50	Facility		$92.63	$164.77	$305.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.61 / $199.68 / $327.00	Professional		$141.61	$199.68	$327.00
United Facility/Professional Professional Modifier Low / Median / High Price $269.35 / $301.12 / $328.30	Professional		$269.35	$301.12	$328.30