Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.61 / $413.25 / $413.25	Facility		$231.61	$413.25	$413.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.27 / $118.16 / $931.32	Professional		$112.27	$118.16	$931.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.09 / $504.63 / $94,999.99	Facility		$194.09	$504.63	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.09 / $194.09 / $194.09	Professional		$194.09	$194.09	$194.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $210.02 / $246.23 / $825.59	Facility		$210.02	$246.23	$825.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.02 / $210.02 / $210.02	Professional		$210.02	$210.02	$210.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $210.02 / $246.23 / $825.59	Facility		$210.02	$246.23	$825.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $130.36 / $130.36 / $210.02	Professional		$130.36	$130.36	$210.02
United Facility/Professional Professional Modifier Low / Median / High Price $60.83 / $60.83 / $144.84	Professional		$60.83	$60.83	$144.84