Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.15 / $293.24 / $413.22	Facility		$187.15	$293.24	$413.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $67.48 / $176.40	Professional		$42.48	$67.48	$176.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.58 / $227.71 / $94,999.99	Facility		$87.58	$227.71	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.58 / $87.58 / $87.58	Professional		$87.58	$87.58	$87.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.77 / $111.11 / $372.55	Facility		$94.77	$111.11	$372.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.77 / $94.77 / $94.77	Professional		$94.77	$94.77	$94.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $94.77 / $111.11 / $372.55	Facility		$94.77	$111.11	$372.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.82 / $58.82 / $94.77	Professional		$58.82	$58.82	$94.77
United Facility/Professional Professional Modifier Low / Median / High Price $27.45 / $27.45 / $65.36	Professional		$27.45	$27.45	$65.36