Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.36 / $217.47 / $324.00	Facility		$141.36	$217.47	$324.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.81 / $65.34 / $471.77	Professional		$62.81	$65.34	$471.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.32 / $464.91 / $94,999.99	Facility		$98.32	$464.91	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.32 / $98.32 / $98.32	Professional		$98.32	$98.32	$98.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.39 / $124.73 / $418.21	Facility		$106.39	$124.73	$418.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.39 / $106.39 / $106.39	Professional		$106.39	$106.39	$106.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $106.39 / $124.73 / $418.21	Facility		$106.39	$124.73	$418.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.03 / $66.03 / $106.39	Professional		$66.03	$66.03	$106.39
United Facility/Professional Professional Modifier Low / Median / High Price $30.82 / $30.82 / $73.37	Professional		$30.82	$30.82	$73.37