Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.72 / $596.90 / $751.42	Professional		$149.72	$596.90	$751.42
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 $214.00 / $214.00 / $918.57	Professional		$214.00	$214.00	$918.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.00 / $214.00 / $214.00	Facility		$214.00	$214.00	$214.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.72 / $401.76 / $1,035.96	Professional		$159.72	$401.76	$1,035.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $170.37 / $669.84 / $1,256.74	Facility		$170.37	$669.84	$1,256.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $192.38 / $645.97 / $1,336.18	Professional		$192.38	$645.97	$1,336.18
United Facility/Professional Professional Modifier Low / Median / High Price $859.35 / $994.15 / $1,173.48	Professional		$859.35	$994.15	$1,173.48