Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.36 / $177.17 / $316.67	Professional		$157.36	$177.17	$316.67
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 $279.73 / $279.73 / $279.73	Professional		$279.73	$279.73	$279.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $279.73 / $279.73 / $279.73	Facility		$279.73	$279.73	$279.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.25 / $279.73 / $311.37	Professional		$155.25	$279.73	$311.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $137.76 / $189.42 / $279.73	Facility		$137.76	$189.42	$279.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $171.46 / $279.73 / $373.10	Professional		$171.46	$279.73	$373.10
United Facility/Professional Professional Modifier Low / Median / High Price $252.45 / $305.66 / $351.78	Professional		$252.45	$305.66	$351.78