Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $367.65 / $392.96 / $715.76	Facility		$367.65	$392.96	$715.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.40 / $63.03 / $481.35	Professional		$52.40	$63.03	$481.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.31 / $100.31 / $77,999.99	Facility		$100.31	$100.31	$77,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.31 / $100.31 / $100.31	Professional		$100.31	$100.31	$100.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.55 / $145.97 / $221.21	Facility		$108.55	$145.97	$221.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.48 / $107.38 / $108.55	Professional		$48.48	$107.38	$108.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $108.55 / $145.97 / $221.21	Facility		$108.55	$145.97	$221.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.37 / $67.37 / $108.55	Professional		$67.37	$67.37	$108.55
United Facility/Professional Professional Modifier Low / Median / High Price $31.44 / $31.44 / $101.97	Professional		$31.44	$31.44	$101.97