Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.80 / $625.13 / $625.13	Professional		$111.80	$625.13	$625.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $338.70 / $68,999.99 / $94,999.99	Facility		$338.70	$68,999.99	$94,999.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.97 / $165.27 / $554.15	Facility		$140.97	$165.27	$554.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.97 / $140.97 / $140.97	Professional		$140.97	$140.97	$140.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $140.97 / $165.27 / $554.15	Facility		$140.97	$165.27	$554.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.50 / $87.50 / $140.97	Professional		$87.50	$87.50	$140.97
United Facility/Professional Professional Modifier Low / Median / High Price $40.83 / $40.83 / $97.22	Professional		$40.83	$40.83	$97.22