Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.17 / $1,236.61 / $1,236.61	Professional		$221.17	$1,236.61	$1,236.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.70 / $64,999.99 / $94,999.99	Facility		$257.70	$64,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.70 / $257.70 / $257.70	Professional		$257.70	$257.70	$257.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.86 / $326.94 / $1,096.22	Facility		$278.86	$326.94	$1,096.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.86 / $278.86 / $278.86	Professional		$278.86	$278.86	$278.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $278.86 / $326.94 / $1,096.22	Facility		$278.86	$326.94	$1,096.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $173.09 / $173.09 / $278.86	Professional		$173.09	$173.09	$278.86
United Facility/Professional Professional Modifier Low / Median / High Price $67.05 / $80.77 / $192.32	Professional		$67.05	$80.77	$192.32