Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.33 / $129.33 / $692.06	Facility		$129.33	$129.33	$692.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.56 / $76.59 / $145.75	Professional		$48.56	$76.59	$145.75
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 $88.33 / $88.33 / $136.18	Professional		$88.33	$88.33	$136.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.33 / $88.33 / $88.33	Facility		$88.33	$88.33	$88.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.08 / $91.09 / $136.18	Professional		$75.08	$91.09	$136.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.58 / $83.36 / $135.19	Facility		$48.58	$83.36	$135.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.33 / $103.36 / $160.97	Professional		$73.33	$103.36	$160.97
United Facility/Professional Professional Modifier Low / Median / High Price $122.20 / $131.66 / $148.94	Professional		$122.20	$131.66	$148.94