Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,258.13 / $6,258.13 / $6,258.13	Facility		$6,258.13	$6,258.13	$6,258.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.34 / $114.87 / $210.37	Professional		$65.34	$114.87	$210.37
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 $100.43 / $100.43 / $202.96	Professional		$100.43	$100.43	$202.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.43 / $200.85 / $387.43	Facility		$100.43	$200.85	$387.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.78 / $124.86 / $210.11	Professional		$66.78	$124.86	$210.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $71.01 / $146.41 / $216.35	Facility		$71.01	$146.41	$216.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.24 / $154.08 / $286.30	Professional		$85.24	$154.08	$286.30
United Facility/Professional Professional Modifier Low / Median / High Price $161.21 / $195.20 / $219.52	Professional		$161.21	$195.20	$219.52