Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,045.18 / $1,045.18 / $1,045.18	Facility		$1,045.18	$1,045.18	$1,045.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.35 / $129.34 / $255.18	Professional		$47.35	$129.34	$255.18
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 $73.61 / $73.61 / $180.35	Professional		$73.61	$73.61	$180.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.61 / $73.61 / $73.61	Facility		$73.61	$73.61	$73.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.75 / $134.57 / $253.82	Professional		$53.75	$134.57	$253.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.42 / $135.82 / $323.38	Facility		$56.42	$135.82	$323.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.25 / $125.79 / $266.56	Professional		$66.25	$125.79	$266.56
United Facility/Professional Professional Modifier Low / Median / High Price $199.92 / $235.20 / $288.41	Professional		$199.92	$235.20	$288.41