Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.26 / $1,343.36 / $1,343.36	Professional		$240.26	$1,343.36	$1,343.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $279.95 / $727.87 / $94,999.99	Facility		$279.95	$727.87	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $279.95 / $279.95 / $279.95	Professional		$279.95	$279.95	$279.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.93 / $355.16 / $1,190.83	Facility		$302.93	$355.16	$1,190.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.93 / $302.93 / $302.93	Professional		$302.93	$302.93	$302.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $302.93 / $355.16 / $1,190.83	Facility		$302.93	$355.16	$1,190.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $188.03 / $188.03 / $302.93	Professional		$188.03	$188.03	$302.93
United Facility/Professional Professional Modifier Low / Median / High Price $87.75 / $87.75 / $208.92	Professional		$87.75	$87.75	$208.92