Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $987.21 / $987.21 / $987.21	Facility		$987.21	$987.21	$987.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.37 / $102.22 / $504.47	Professional		$76.37	$102.22	$504.47
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 $141.68 / $166.68 / $229.77	Professional		$141.68	$166.68	$229.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.68 / $166.68 / $166.68	Facility		$166.68	$166.68	$166.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.70 / $144.91 / $206.79	Professional		$80.70	$144.91	$206.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $82.84 / $119.15 / $166.68	Facility		$82.84	$119.15	$166.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.25 / $174.24 / $270.38	Professional		$107.25	$174.24	$270.38
United Facility/Professional Professional Modifier Low / Median / High Price $150.22 / $199.09 / $238.91	Professional		$150.22	$199.09	$238.91