Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.36 / $308.36 / $568.23	Facility		$308.36	$308.36	$568.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.33 / $96.36 / $589.37	Professional		$62.33	$96.36	$589.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.82 / $122.82 / $91,999.99	Facility		$122.82	$122.82	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.82 / $122.82 / $122.82	Professional		$122.82	$122.82	$122.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.91 / $155.82 / $522.46	Facility		$132.91	$155.82	$522.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.91 / $132.91 / $132.91	Professional		$132.91	$132.91	$132.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $132.91 / $155.82 / $522.46	Facility		$132.91	$155.82	$522.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $82.49 / $82.49 / $132.91	Professional		$82.49	$82.49	$132.91
United Facility/Professional Professional Modifier Low / Median / High Price $38.50 / $38.50 / $91.66	Professional		$38.50	$38.50	$91.66