Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.90 / $194.42 / $519.29	Facility		$153.90	$194.42	$519.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.70 / $52.61 / $98.53	Professional		$42.70	$52.61	$98.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.02 / $404.81 / $94,999.99	Facility		$88.02	$404.81	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.02 / $88.02 / $88.02	Professional		$88.02	$88.02	$88.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.25 / $111.67 / $374.43	Facility		$95.25	$111.67	$374.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.25 / $95.25 / $95.25	Professional		$95.25	$95.25	$95.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.25 / $111.67 / $374.43	Facility		$95.25	$111.67	$374.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $59.12 / $59.12 / $95.25	Professional		$59.12	$59.12	$95.25
United Facility/Professional Professional Modifier Low / Median / High Price $27.59 / $27.59 / $65.69	Professional		$27.59	$27.59	$65.69