Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.09 / $125.45 / $259.95	Professional		$113.09	$125.45	$259.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,169.47 / $77,999.99 / $94,999.99	Facility		$1,169.47	$77,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.99 / $247.13 / $247.13	Professional		$60.99	$247.13	$247.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $185.48 / $253.48 / $704.81	Facility		$185.48	$253.48	$704.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.93 / $247.13 / $349.77	Professional		$87.93	$247.13	$349.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $145.88 / $210.21 / $365.39	Facility		$145.88	$210.21	$365.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $164.71 / $270.63 / $428.58	Professional		$164.71	$270.63	$428.58
United Facility/Professional Professional Modifier Low / Median / High Price $117.99 / $165.29 / $290.27	Professional		$117.99	$165.29	$290.27