Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $280.25 / $280.25 / $328.35	Facility		$280.25	$280.25	$328.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.14 / $121.63 / $782.08	Professional		$85.14	$121.63	$782.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.97 / $423.75 / $94,999.99	Facility		$162.97	$423.75	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.97 / $162.97 / $162.97	Professional		$162.97	$162.97	$162.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.36 / $206.77 / $693.29	Facility		$176.36	$206.77	$693.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.76 / $176.36 / $176.36	Professional		$78.76	$176.36	$176.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $176.36 / $206.77 / $693.29	Facility		$176.36	$206.77	$693.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.47 / $109.47 / $176.36	Professional		$109.47	$109.47	$176.36
United Facility/Professional Professional Modifier Low / Median / High Price $51.08 / $51.08 / $121.63	Professional		$51.08	$51.08	$121.63