Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.60 / $216.60 / $257.83	Facility		$216.60	$216.60	$257.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.29 / $39.02 / $209.75	Professional		$17.29	$39.02	$209.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.71 / $43.71 / $91,999.99	Facility		$43.71	$43.71	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.71 / $43.71 / $43.71	Professional		$43.71	$43.71	$43.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.30 / $63.61 / $96.39	Facility		$47.30	$63.61	$96.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.04 / $46.98 / $47.30	Professional		$35.04	$46.98	$47.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.30 / $66.44 / $96.39	Facility		$47.30	$66.44	$96.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.36 / $32.61 / $47.30	Professional		$29.36	$32.61	$47.30
United Facility/Professional Professional Modifier Low / Median / High Price $13.70 / $14.09 / $44.82	Professional		$13.70	$14.09	$44.82