Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $280.25 / $280.25 / $280.25	Facility		$280.25	$280.25	$280.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.88 / $966.62 / $966.62	Professional		$172.88	$966.62	$966.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $201.44 / $926.41 / $94,999.99	Facility		$201.44	$926.41	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.44 / $201.44 / $201.44	Professional		$201.44	$201.44	$201.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.98 / $255.56 / $856.88	Facility		$217.98	$255.56	$856.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.98 / $217.98 / $217.98	Professional		$217.98	$217.98	$217.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $217.98 / $255.56 / $856.88	Facility		$217.98	$255.56	$856.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $135.30 / $135.30 / $217.98	Professional		$135.30	$135.30	$217.98
United Facility/Professional Professional Modifier Low / Median / High Price $63.14 / $63.14 / $150.33	Professional		$63.14	$63.14	$150.33