Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.51 / $478.51 / $478.51	Facility		$478.51	$478.51	$478.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.84 / $1,139.72 / $1,139.72	Professional		$203.84	$1,139.72	$1,139.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $237.52 / $64,999.99 / $94,999.99	Facility		$237.52	$64,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $237.52 / $237.52 / $237.52	Professional		$237.52	$237.52	$237.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.01 / $301.33 / $1,010.33	Facility		$257.01	$301.33	$1,010.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.01 / $257.01 / $257.01	Professional		$257.01	$257.01	$257.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $257.01 / $301.33 / $1,010.33	Facility		$257.01	$301.33	$1,010.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $159.53 / $159.53 / $257.01	Professional		$159.53	$159.53	$257.01
United Facility/Professional Professional Modifier Low / Median / High Price $74.45 / $74.45 / $177.25	Professional		$74.45	$74.45	$177.25