Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.53 / $275.10 / $1,090.77	Professional		$53.53	$275.10	$1,090.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64,999.99 / $81,499.99 / $94,999.99	Facility		$64,999.99	$81,499.99	$94,999.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.45 / $166.31 / $320.80	Facility		$80.45	$166.31	$320.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.61 / $89.10 / $299.55	Professional		$48.61	$89.10	$299.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.77 / $158.54 / $218.00	Facility		$39.77	$158.54	$218.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $68.38 / $204.84 / $417.69	Professional		$68.38	$204.84	$417.69
United Facility/Professional Professional Modifier Low / Median / High Price $238.97 / $320.87 / $363.16	Professional		$238.97	$320.87	$363.16