Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $564.29 / $564.29 / $564.29	Facility		$564.29	$564.29	$564.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.59 / $98.22 / $181.32	Professional		$87.59	$98.22	$181.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $410.97 / $77,999.99 / $94,999.99	Facility		$410.97	$77,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.56 / $137.76 / $137.76	Professional		$72.56	$137.76	$137.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.59 / $127.24 / $245.44	Facility		$64.59	$127.24	$245.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.44 / $137.76 / $200.33	Professional		$95.44	$137.76	$200.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.76 / $137.76 / $182.79	Facility		$83.76	$137.76	$182.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $92.18 / $156.43 / $236.31	Professional		$92.18	$156.43	$236.31
United Facility/Professional Professional Modifier Low / Median / High Price $93.47 / $95.87 / $164.15	Professional		$93.47	$95.87	$164.15