Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.07 / $380.07 / $396.00	Facility		$380.07	$380.07	$396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.41 / $101.15 / $1,092.46	Professional		$99.41	$101.15	$1,092.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $227.67 / $591.94 / $94,999.99	Facility		$227.67	$591.94	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $227.67 / $227.67 / $227.67	Professional		$227.67	$227.67	$227.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $246.36 / $288.83 / $968.43	Facility		$246.36	$288.83	$968.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $246.36 / $246.36 / $246.36	Professional		$246.36	$246.36	$246.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $246.36 / $288.83 / $968.43	Facility		$246.36	$288.83	$968.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $152.91 / $152.91 / $246.36	Professional		$152.91	$152.91	$246.36
United Facility/Professional Professional Modifier Low / Median / High Price $54.11 / $71.36 / $169.90	Professional		$54.11	$71.36	$169.90