Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.85 / $722.35 / $1,115.67	Professional		$130.85	$722.35	$1,115.67
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 $211.37 / $211.37 / $322.83	Professional		$211.37	$211.37	$322.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.37 / $211.37 / $211.37	Facility		$211.37	$211.37	$211.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.66 / $234.55 / $354.44	Professional		$179.66	$234.55	$354.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $119.79 / $197.40 / $358.15	Facility		$119.79	$197.40	$358.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $179.66 / $252.37 / $387.72	Professional		$179.66	$252.37	$387.72
United Facility/Professional Professional Modifier Low / Median / High Price $319.58 / $352.64 / $383.36	Professional		$319.58	$352.64	$383.36