Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $563.98 / $563.98 / $650.80	Facility		$563.98	$563.98	$650.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.16 / $193.00 / $701.50	Professional		$184.16	$193.00	$701.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $126.95 / $64,999.99 / $94,999.99	Facility		$126.95	$64,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.95 / $126.95 / $126.95	Professional		$126.95	$126.95	$126.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.37 / $161.06 / $540.02	Facility		$137.37	$161.06	$540.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.37 / $137.37 / $137.37	Professional		$137.37	$137.37	$137.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $137.37 / $161.06 / $540.02	Facility		$137.37	$161.06	$540.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.27 / $85.27 / $137.37	Professional		$85.27	$85.27	$137.37
United Facility/Professional Professional Modifier Low / Median / High Price $39.79 / $39.79 / $94.74	Professional		$39.79	$39.79	$94.74