Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.90 / $257.51 / $765.68	Facility		$58.90	$257.51	$765.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.00 / $158.47 / $474.00	Professional		$104.00	$158.47	$474.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $558.03 / $77,999.99 / $94,999.99	Facility		$558.03	$77,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $197.70 / $197.70 / $197.70	Professional		$197.70	$197.70	$197.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.18 / $207.33 / $302.55	Facility		$160.18	$207.33	$302.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.94 / $197.70 / $297.04	Professional		$165.94	$197.70	$297.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $119.26 / $193.15 / $302.55	Facility		$119.26	$193.15	$302.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $121.64 / $182.47 / $267.14	Professional		$121.64	$182.47	$267.14
United Facility/Professional Professional Modifier Low / Median / High Price $142.57 / $186.18 / $239.58	Professional		$142.57	$186.18	$239.58