Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.73 / $1,295.65 / $1,295.65	Professional		$231.73	$1,295.65	$1,295.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $270.01 / $702.03 / $94,999.99	Facility		$270.01	$702.03	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $270.01 / $270.01 / $270.01	Professional		$270.01	$270.01	$270.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $292.18 / $342.55 / $1,148.55	Facility		$292.18	$342.55	$1,148.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.18 / $292.18 / $292.18	Professional		$292.18	$292.18	$292.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $292.18 / $342.55 / $1,148.55	Facility		$292.18	$342.55	$1,148.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $181.35 / $181.35 / $292.18	Professional		$181.35	$181.35	$292.18
United Facility/Professional Professional Modifier Low / Median / High Price $84.63 / $84.63 / $201.50	Professional		$84.63	$84.63	$201.50