Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.96 / $160.96 / $160.96	Professional		$160.96	$160.96	$160.96
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
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.80 / $199.80 / $199.80	Facility		$199.80	$199.80	$199.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.72 / $129.72 / $199.80	Professional		$129.72	$129.72	$199.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $199.80 / $199.80 / $199.80	Facility		$199.80	$199.80	$199.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $121.96 / $172.78 / $240.20	Professional		$121.96	$172.78	$240.20
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Facility		$200.00	$200.00	$200.00
United Facility/Professional Professional Modifier Low / Median / High Price $161.58 / $186.44 / $233.57	Professional		$161.58	$186.44	$233.57