Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.40 / $86.40 / $86.40	Facility		$86.40	$86.40	$86.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.71 / $1,127.82 / $1,127.82	Professional		$201.71	$1,127.82	$1,127.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $235.04 / $1,080.90 / $94,999.99	Facility		$235.04	$1,080.90	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $235.04 / $235.04 / $235.04	Professional		$235.04	$235.04	$235.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $254.33 / $298.18 / $999.78	Facility		$254.33	$298.18	$999.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.33 / $254.33 / $254.33	Professional		$254.33	$254.33	$254.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $254.33 / $298.18 / $999.78	Facility		$254.33	$298.18	$999.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $157.86 / $157.86 / $254.33	Professional		$157.86	$157.86	$254.33
United Facility/Professional Professional Modifier Low / Median / High Price $73.67 / $73.67 / $175.40	Professional		$73.67	$73.67	$175.40