Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $810.76 / $810.76 / $810.76	Facility		$810.76	$810.76	$810.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.56 / $539.54 / $834.90	Professional		$238.56	$539.54	$834.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $745.84 / $745.84 / $91,999.99	Facility		$745.84	$745.84	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $745.84 / $745.84 / $745.84	Professional		$745.84	$745.84	$745.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $807.07 / $946.22 / $3,172.62	Facility		$807.07	$946.22	$3,172.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $807.07 / $807.07 / $807.07	Professional		$807.07	$807.07	$807.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $807.07 / $946.22 / $3,172.62	Facility		$807.07	$946.22	$3,172.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $500.94 / $500.94 / $807.07	Professional		$500.94	$500.94	$807.07
United Facility/Professional Professional Modifier Low / Median / High Price $233.77 / $233.77 / $556.60	Professional		$233.77	$233.77	$556.60