Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.22 / $219.24 / $795.26	Professional		$142.22	$219.24	$795.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.73 / $430.90 / $94,999.99	Facility		$165.73	$430.90	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.73 / $165.73 / $165.73	Professional		$165.73	$165.73	$165.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $179.34 / $210.26 / $704.98	Facility		$179.34	$210.26	$704.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.34 / $179.34 / $179.34	Professional		$179.34	$179.34	$179.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $179.34 / $210.26 / $704.98	Facility		$179.34	$210.26	$704.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $111.31 / $111.31 / $179.34	Professional		$111.31	$111.31	$179.34
United Facility/Professional Professional Modifier Low / Median / High Price $51.95 / $51.95 / $123.68	Professional		$51.95	$51.95	$123.68