Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.35 / $244.35 / $666.00	Facility		$244.35	$244.35	$666.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.48 / $346.55 / $1,937.68	Professional		$196.48	$346.55	$1,937.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $403.81 / $1,049.91 / $94,999.99	Facility		$403.81	$1,049.91	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $403.81 / $403.81 / $403.81	Professional		$403.81	$403.81	$403.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.96 / $512.29 / $1,717.70	Facility		$436.96	$512.29	$1,717.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.96 / $436.96 / $436.96	Professional		$436.96	$436.96	$436.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $436.96 / $512.29 / $1,717.70	Facility		$436.96	$512.29	$1,717.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $271.22 / $271.22 / $436.96	Professional		$271.22	$271.22	$436.96
United Facility/Professional Professional Modifier Low / Median / High Price $126.57 / $126.57 / $301.35	Professional		$126.57	$126.57	$301.35