Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.39 / $98.43 / $142.40	Professional		$88.39	$98.43	$142.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $631.50 / $77,999.99 / $94,999.99	Facility		$631.50	$77,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.96 / $39.96 / $157.74	Professional		$39.96	$39.96	$157.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.36 / $174.09 / $250.94	Facility		$144.36	$174.09	$250.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.89 / $145.11 / $243.28	Professional		$101.89	$145.11	$243.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $106.85 / $164.02 / $250.94	Facility		$106.85	$164.02	$250.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $110.31 / $165.49 / $281.57	Professional		$110.31	$165.49	$281.57
United Facility/Professional Professional Modifier Low / Median / High Price $93.29 / $114.76 / $201.54	Professional		$93.29	$114.76	$201.54