Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.56 / $442.30 / $623.34	Professional		$99.56	$442.30	$623.34
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 $136.71 / $136.71 / $793.43	Professional		$136.71	$136.71	$793.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.71 / $136.71 / $136.71	Facility		$136.71	$136.71	$136.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.63 / $257.08 / $793.43	Professional		$105.63	$257.08	$793.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $108.43 / $530.12 / $950.31	Facility		$108.43	$530.12	$950.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.04 / $516.23 / $1,152.03	Professional		$123.04	$516.23	$1,152.03
United Facility/Professional Professional Modifier Low / Median / High Price $657.90 / $792.27 / $887.89	Professional		$657.90	$792.27	$887.89