Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $487.89 / $487.89 / $487.89	Facility		$487.89	$487.89	$487.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.53 / $112.29 / $240.64	Professional		$97.53	$112.29	$240.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47,000.00 / $81,499.99 / $94,999.99	Facility		$47,000.00	$81,499.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.43 / $202.43 / $233.46	Professional		$202.43	$202.43	$233.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $202.43 / $202.43 / $202.43	Facility		$202.43	$202.43	$202.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.47 / $202.43 / $233.46	Professional		$123.47	$202.43	$233.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $113.19 / $190.45 / $203.03	Facility		$113.19	$190.45	$203.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $133.19 / $202.43 / $280.44	Professional		$133.19	$202.43	$280.44
United Facility/Professional Professional Modifier Low / Median / High Price $169.94 / $214.02 / $412.56	Professional		$169.94	$214.02	$412.56