Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.00 / $176.53 / $987.01	Professional		$175.00	$176.53	$987.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $205.69 / $205.69 / $91,999.99	Facility		$205.69	$205.69	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.69 / $205.69 / $205.69	Professional		$205.69	$205.69	$205.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $222.58 / $299.33 / $453.59	Facility		$222.58	$299.33	$453.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.76 / $220.96 / $222.58	Professional		$176.76	$220.96	$222.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $222.58 / $299.33 / $453.59	Facility		$222.58	$299.33	$453.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.15 / $138.15 / $222.58	Professional		$138.15	$138.15	$222.58
United Facility/Professional Professional Modifier Low / Median / High Price $64.47 / $64.47 / $153.50	Professional		$64.47	$64.47	$153.50