Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,030.40 / $1,030.40 / $1,030.40	Facility		$1,030.40	$1,030.40	$1,030.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.99 / $143.60 / $802.91	Professional		$127.99	$143.60	$802.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $167.33 / $769.50 / $94,999.99	Facility		$167.33	$769.50	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.33 / $167.33 / $167.33	Professional		$167.33	$167.33	$167.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.06 / $212.28 / $711.76	Facility		$181.06	$212.28	$711.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.37 / $181.06 / $181.06	Professional		$59.37	$181.06	$181.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $181.06 / $212.28 / $711.76	Facility		$181.06	$212.28	$711.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $112.38 / $112.38 / $181.06	Professional		$112.38	$112.38	$181.06
United Facility/Professional Professional Modifier Low / Median / High Price $52.45 / $52.45 / $124.87	Professional		$52.45	$52.45	$124.87