Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.51 / $102.92 / $322.20	Professional		$88.51	$102.92	$322.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $571.37 / $77,999.99 / $94,999.99	Facility		$571.37	$77,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.05 / $52.05 / $169.31	Professional		$52.05	$52.05	$169.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.37 / $169.31 / $209.30	Facility		$117.37	$169.31	$209.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.67 / $149.22 / $235.78	Professional		$74.67	$149.22	$235.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $103.56 / $139.81 / $204.01	Facility		$103.56	$139.81	$204.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $103.77 / $169.31 / $270.67	Professional		$103.77	$169.31	$270.67
United Facility/Professional Professional Modifier Low / Median / High Price $94.39 / $104.66 / $183.80	Professional		$94.39	$104.66	$183.80