Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $868.11 / $868.11 / $868.11	Facility		$868.11	$868.11	$868.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.88 / $534.51 / $799.61	Professional		$115.88	$534.51	$799.61
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
BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.68 / $166.68 / $836.02	Professional		$166.68	$166.68	$836.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.68 / $166.68 / $166.68	Facility		$166.68	$166.68	$166.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.31 / $313.86 / $927.92	Professional		$127.31	$313.86	$927.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $130.24 / $582.10 / $1,193.14	Facility		$130.24	$582.10	$1,193.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $150.01 / $546.39 / $1,224.53	Professional		$150.01	$546.39	$1,224.53
United Facility/Professional Professional Modifier Low / Median / High Price $757.90 / $872.32 / $1,293.45	Professional		$757.90	$872.32	$1,293.45