Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.45 / $533.69 / $533.69	Professional		$95.45	$533.69	$533.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $289.17 / $68,999.99 / $94,999.99	Facility		$289.17	$68,999.99	$94,999.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.35 / $141.10 / $473.10	Facility		$120.35	$141.10	$473.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.35 / $120.35 / $120.35	Professional		$120.35	$120.35	$120.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.35 / $141.10 / $473.10	Facility		$120.35	$141.10	$473.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.70 / $74.70 / $120.35	Professional		$74.70	$74.70	$120.35
United Facility/Professional Professional Modifier Low / Median / High Price $34.86 / $34.86 / $83.00	Professional		$34.86	$34.86	$83.00