Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $403.88 / $403.88 / $403.88	Facility		$403.88	$403.88	$403.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.89 / $102.31 / $519.00	Professional		$83.89	$102.31	$519.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $708.34 / $77,999.99 / $94,999.99	Facility		$708.34	$77,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.74 / $45.74 / $157.21	Professional		$45.74	$45.74	$157.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.31 / $157.21 / $430.58	Facility		$113.31	$157.21	$430.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.68 / $157.21 / $227.89	Professional		$94.68	$157.21	$227.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $96.04 / $157.22 / $223.22	Facility		$96.04	$157.22	$223.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $104.67 / $175.18 / $272.25	Professional		$104.67	$175.18	$272.25
United Facility/Professional Professional Modifier Low / Median / High Price $104.35 / $107.19 / $188.24	Professional		$104.35	$107.19	$188.24