Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.24 / $1,242.59 / $1,242.59	Professional		$222.24	$1,242.59	$1,242.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $258.95 / $64,999.99 / $94,999.99	Facility		$258.95	$64,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $258.95 / $258.95 / $258.95	Professional		$258.95	$258.95	$258.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $280.20 / $328.53 / $1,101.53	Facility		$280.20	$328.53	$1,101.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $280.20 / $280.20 / $280.20	Professional		$280.20	$280.20	$280.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $280.20 / $328.53 / $1,101.53	Facility		$280.20	$328.53	$1,101.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $173.93 / $173.93 / $280.20	Professional		$173.93	$173.93	$280.20
United Facility/Professional Professional Modifier Low / Median / High Price $81.17 / $81.17 / $193.25	Professional		$81.17	$81.17	$193.25