Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $519.29 / $519.29 / $743.40	Facility		$519.29	$519.29	$743.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.29 / $205.97 / $801.00	Professional		$105.29	$205.97	$801.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47,000.00 / $77,999.99 / $94,999.99	Facility		$47,000.00	$77,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.09 / $175.09 / $342.82	Professional		$175.09	$175.09	$342.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.09 / $175.09 / $175.09	Facility		$175.09	$175.09	$175.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.68 / $213.93 / $467.80	Professional		$112.68	$213.93	$467.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.01 / $204.00 / $378.24	Facility		$112.01	$204.00	$378.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $149.41 / $286.33 / $552.24	Professional		$149.41	$286.33	$552.24
United Facility/Professional Professional Modifier Low / Median / High Price $274.61 / $334.31 / $489.53	Professional		$274.61	$334.31	$489.53