Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.54 / $819.38 / $819.38	Professional		$146.54	$819.38	$819.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $170.76 / $64,999.99 / $94,999.99	Facility		$170.76	$64,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.76 / $170.76 / $170.76	Professional		$170.76	$170.76	$170.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.77 / $216.63 / $726.35	Facility		$184.77	$216.63	$726.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.77 / $184.77 / $184.77	Professional		$184.77	$184.77	$184.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $184.77 / $216.63 / $726.35	Facility		$184.77	$216.63	$726.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.69 / $114.69 / $184.77	Professional		$114.69	$114.69	$184.77
United Facility/Professional Professional Modifier Low / Median / High Price $53.52 / $63.71 / $127.43	Professional		$53.52	$63.71	$127.43