Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.05 / $169.15 / $1,047.96	Professional		$133.05	$169.15	$1,047.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $858.71 / $77,999.99 / $94,999.99	Facility		$858.71	$77,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.44 / $90.44 / $245.02	Professional		$90.44	$90.44	$245.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $206.33 / $248.81 / $358.65	Facility		$206.33	$248.81	$358.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.79 / $347.12 / $527.22	Professional		$206.79	$347.12	$527.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $154.52 / $358.65 / $722.75	Facility		$154.52	$358.65	$722.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $155.60 / $251.75 / $403.79	Professional		$155.60	$251.75	$403.79
United Facility/Professional Professional Modifier Low / Median / High Price $163.40 / $229.72 / $380.03	Professional		$163.40	$229.72	$380.03