Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $205.50 / $334.77	Professional		$39.31	$205.50	$334.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $183.58 / $64,999.99 / $94,999.99	Facility		$183.58	$64,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.58 / $183.58 / $183.58	Professional		$183.58	$183.58	$183.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $198.65 / $232.90 / $780.90	Facility		$198.65	$232.90	$780.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.64 / $198.65 / $198.65	Professional		$64.64	$198.65	$198.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $198.65 / $232.90 / $780.90	Facility		$198.65	$232.90	$780.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.30 / $123.30 / $198.65	Professional		$123.30	$123.30	$198.65
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $137.00	Professional		$57.54	$57.54	$137.00