Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.78 / $112.78 / $203.30	Facility		$112.78	$112.78	$203.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.98 / $76.19 / $85.48	Professional		$57.98	$76.19	$85.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.60 / $99.60 / $91,999.99	Facility		$99.60	$99.60	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.60 / $99.60 / $99.60	Professional		$99.60	$99.60	$99.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.78 / $126.36 / $423.68	Facility		$107.78	$126.36	$423.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.78 / $107.78 / $107.78	Professional		$107.78	$107.78	$107.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.78 / $126.36 / $423.68	Facility		$107.78	$126.36	$423.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.90 / $66.90 / $107.78	Professional		$66.90	$66.90	$107.78
United Facility/Professional Professional Modifier Low / Median / High Price $31.22 / $31.22 / $74.33	Professional		$31.22	$31.22	$74.33