Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $285.02 / $285.02 / $805.68	Facility		$285.02	$285.02	$805.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $312.45 / $1,190.83	Professional		$100.00	$312.45	$1,190.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $248.17 / $1,141.30 / $94,999.99	Facility		$248.17	$1,141.30	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.17 / $248.17 / $248.17	Professional		$248.17	$248.17	$248.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $268.54 / $314.83 / $1,055.64	Facility		$268.54	$314.83	$1,055.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.54 / $268.54 / $268.54	Professional		$268.54	$268.54	$268.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $268.54 / $314.83 / $1,055.64	Facility		$268.54	$314.83	$1,055.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $166.68 / $166.68 / $268.54	Professional		$166.68	$166.68	$268.54
United Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $77.78 / $185.20	Professional		$77.78	$77.78	$185.20