Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.83 / $467.40 / $536.85	Facility		$292.83	$467.40	$536.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.49 / $125.46 / $446.40	Professional		$111.49	$125.46	$446.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $219.71 / $571.25 / $94,999.99	Facility		$219.71	$571.25	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $219.71 / $219.71 / $219.71	Professional		$219.71	$219.71	$219.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $237.74 / $278.73 / $934.57	Facility		$237.74	$278.73	$934.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.74 / $237.74 / $237.74	Professional		$237.74	$237.74	$237.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $237.74 / $278.73 / $934.57	Facility		$237.74	$278.73	$934.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $147.56 / $147.56 / $237.74	Professional		$147.56	$147.56	$237.74
United Facility/Professional Professional Modifier Low / Median / High Price $68.86 / $68.86 / $163.96	Professional		$68.86	$68.86	$163.96