Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.87 / $532.95 / $913.41	Professional		$153.87	$532.95	$913.41
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 $249.23 / $249.23 / $733.49	Professional		$249.23	$249.23	$733.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $249.23 / $249.23 / $249.23	Facility		$249.23	$249.23	$249.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.75 / $249.23 / $1,063.67	Professional		$192.75	$249.23	$1,063.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $249.23 / $1,370.20 / $1,481.95	Facility		$249.23	$1,370.20	$1,481.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $166.14 / $444.29 / $1,019.20	Professional		$166.14	$444.29	$1,019.20
United Facility/Professional Professional Modifier Low / Median / High Price $879.85 / $1,049.05 / $1,370.20	Professional		$879.85	$1,049.05	$1,370.20