Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.64 / $1,110.65 / $1,110.65	Professional		$198.64	$1,110.65	$1,110.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $231.46 / $64,999.99 / $94,999.99	Facility		$231.46	$64,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $231.46 / $231.46 / $231.46	Professional		$231.46	$231.46	$231.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $250.46 / $293.64 / $984.56	Facility		$250.46	$293.64	$984.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.46 / $250.46 / $250.46	Professional		$250.46	$250.46	$250.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $250.46 / $293.64 / $984.56	Facility		$250.46	$293.64	$984.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $155.46 / $155.46 / $250.46	Professional		$155.46	$155.46	$250.46
United Facility/Professional Professional Modifier Low / Median / High Price $72.55 / $72.55 / $172.73	Professional		$72.55	$72.55	$172.73