Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $395.44 / $813.60 / $1,288.63	Facility		$395.44	$813.60	$1,288.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.12 / $108.51 / $562.00	Professional		$89.12	$108.51	$562.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,022.47 / $77,999.99 / $94,999.99	Facility		$1,022.47	$77,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.68 / $54.68 / $214.00	Professional		$54.68	$54.68	$214.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.57 / $222.18 / $617.77	Facility		$162.57	$222.18	$617.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.23 / $214.00 / $309.22	Professional		$106.23	$214.00	$309.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $121.90 / $214.00 / $320.26	Facility		$121.90	$214.00	$320.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $142.69 / $237.46 / $371.98	Professional		$142.69	$237.46	$371.98
United Facility/Professional Professional Modifier Low / Median / High Price $136.43 / $146.16 / $256.68	Professional		$136.43	$146.16	$256.68