Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.50 / $701.71 / $701.71	Professional		$125.50	$701.71	$701.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $146.22 / $64,999.99 / $94,999.99	Facility		$146.22	$64,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.22 / $146.22 / $146.22	Professional		$146.22	$146.22	$146.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.24 / $185.52 / $622.04	Facility		$158.24	$185.52	$622.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.24 / $158.24 / $158.24	Professional		$158.24	$158.24	$158.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $158.24 / $185.52 / $622.04	Facility		$158.24	$185.52	$622.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $98.22 / $98.22 / $158.24	Professional		$98.22	$98.22	$158.24
United Facility/Professional Professional Modifier Low / Median / High Price $45.83 / $45.83 / $109.13	Professional		$45.83	$45.83	$109.13