Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $296.45 / $296.45 / $296.45	Facility		$296.45	$296.45	$296.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.23 / $178.91 / $455.82	Professional		$76.23	$178.91	$455.82
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 $129.35 / $129.35 / $294.45	Professional		$129.35	$129.35	$294.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.35 / $129.35 / $129.35	Facility		$129.35	$129.35	$129.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.87 / $225.25 / $317.13	Professional		$88.87	$225.25	$317.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.09 / $190.34 / $414.67	Facility		$83.09	$190.34	$414.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $113.66 / $222.83 / $422.68	Professional		$113.66	$222.83	$422.68
United Facility/Professional Professional Modifier Low / Median / High Price $275.60 / $328.28 / $375.68	Professional		$275.60	$328.28	$375.68