Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $262.93 / $564.17 / $929.42	Facility		$262.93	$564.17	$929.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.03 / $60.53 / $160.49	Professional		$57.03	$60.53	$160.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64,999.99 / $81,499.99 / $94,999.99	Facility		$64,999.99	$81,499.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.94 / $171.94 / $171.94	Professional		$171.94	$171.94	$171.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.48 / $155.90 / $438.82	Facility		$115.48	$155.90	$438.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.51 / $84.13 / $201.91	Professional		$64.51	$84.13	$201.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $115.48 / $155.90 / $438.82	Facility		$115.48	$155.90	$438.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $103.01 / $171.86 / $240.20	Professional		$103.01	$171.86	$240.20
United Facility/Professional Professional Modifier Low / Median / High Price $80.56 / $123.15 / $173.02	Professional		$80.56	$123.15	$173.02