Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $383.73 / $383.73 / $615.60	Facility		$383.73	$383.73	$615.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.30 / $185.20 / $312.45	Professional		$96.30	$185.20	$312.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $248.17 / $645.24 / $94,999.99	Facility		$248.17	$645.24	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.17 / $248.17 / $248.17	Professional		$248.17	$248.17	$248.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $268.54 / $268.54 / $268.54	Facility		$268.54	$268.54	$268.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.33 / $268.54 / $268.54	Professional		$90.33	$268.54	$268.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $268.54 / $268.54 / $268.54	Facility		$268.54	$268.54	$268.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $166.68 / $166.68 / $268.54	Professional		$166.68	$166.68	$268.54
United Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $77.78 / $185.20	Professional		$77.78	$77.78	$185.20