Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.30 / $100.80 / $911.90	Facility		$51.30	$100.80	$911.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.31 / $131.34 / $473.50	Professional		$117.31	$131.34	$473.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $731.77 / $77,999.99 / $94,999.99	Facility		$731.77	$77,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.28 / $250.28 / $250.28	Professional		$250.28	$250.28	$250.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.20 / $264.32 / $385.71	Facility		$204.20	$264.32	$385.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.40 / $181.78 / $370.90	Professional		$134.40	$181.78	$370.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $149.99 / $246.24 / $385.71	Facility		$149.99	$246.24	$385.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $153.66 / $217.69 / $256.12	Professional		$153.66	$217.69	$256.12
United Facility/Professional Professional Modifier Low / Median / High Price $146.83 / $188.97 / $301.69	Professional		$146.83	$188.97	$301.69