Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.90 / $272.04 / $456.63	Facility		$77.90	$272.04	$456.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.50 / $64.17 / $74.62	Professional		$43.50	$64.17	$74.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.27 / $83.27 / $68,999.99	Facility		$83.27	$83.27	$68,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.27 / $83.27 / $83.27	Professional		$83.27	$83.27	$83.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.10 / $121.17 / $183.62	Facility		$90.10	$121.17	$183.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.87 / $89.31 / $90.10	Professional		$30.87	$89.31	$90.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $90.10 / $121.17 / $183.62	Facility		$90.10	$121.17	$183.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.93 / $55.93 / $90.10	Professional		$55.93	$55.93	$90.10
United Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $26.10 / $79.81	Professional		$26.10	$26.10	$79.81