Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $862.13 / $862.13 / $862.13	Facility		$862.13	$862.13	$862.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.41 / $1,333.00 / $1,333.00	Professional		$238.41	$1,333.00	$1,333.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $277.80 / $722.28 / $94,999.99	Facility		$277.80	$722.28	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $277.80 / $277.80 / $277.80	Professional		$277.80	$277.80	$277.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.60 / $352.43 / $1,181.67	Facility		$300.60	$352.43	$1,181.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.60 / $300.60 / $300.60	Professional		$300.60	$300.60	$300.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $300.60 / $352.43 / $1,181.67	Facility		$300.60	$352.43	$1,181.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $186.58 / $186.58 / $300.60	Professional		$186.58	$186.58	$300.60
United Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $87.07 / $207.31	Professional		$87.07	$87.07	$207.31