Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.44 / $91.44 / $91.44	Facility		$91.44	$91.44	$91.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.14 / $420.14 / $420.14	Professional		$75.14	$420.14	$420.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.56 / $227.66 / $94,999.99	Facility		$87.56	$227.66	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.56 / $87.56 / $87.56	Professional		$87.56	$87.56	$87.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.74 / $111.08 / $372.44	Facility		$94.74	$111.08	$372.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.74 / $94.74 / $94.74	Professional		$94.74	$94.74	$94.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $94.74 / $111.08 / $372.44	Facility		$94.74	$111.08	$372.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.81 / $58.81 / $94.74	Professional		$58.81	$58.81	$94.74
United Facility/Professional Professional Modifier Low / Median / High Price $24.97 / $27.44 / $59.55	Professional		$24.97	$27.44	$59.55