Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.41 / $238.41 / $238.41	Professional		$238.41	$238.41	$238.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $722.28 / $68,999.99 / $94,999.99	Facility		$722.28	$68,999.99	$94,999.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.60 / $300.60 / $300.60	Facility		$300.60	$300.60	$300.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.05 / $300.60 / $300.60	Professional		$101.05	$300.60	$300.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $300.60 / $300.60 / $300.60	Facility		$300.60	$300.60	$300.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $186.58 / $186.58 / $300.60	Professional		$186.58	$186.58	$300.60
United Facility/Professional Facility Modifier Low / Median / High Price $207.31 / $207.31 / $207.31	Facility		$207.31	$207.31	$207.31
United Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $87.07 / $207.31	Professional		$87.07	$87.07	$207.31