Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.53 / $424.13 / $814.01	Facility		$252.53	$424.13	$814.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.84 / $118.37 / $164.02	Professional		$99.84	$118.37	$164.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $191.12 / $64,999.99 / $94,999.99	Facility		$191.12	$64,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.12 / $191.12 / $191.12	Professional		$191.12	$191.12	$191.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $206.81 / $206.81 / $206.81	Facility		$206.81	$206.81	$206.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.58 / $206.81 / $206.81	Professional		$69.58	$206.81	$206.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $206.81 / $206.81 / $206.81	Facility		$206.81	$206.81	$206.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $128.37 / $128.37 / $206.81	Professional		$128.37	$128.37	$206.81
United Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $59.90 / $142.63	Professional		$59.90	$59.90	$142.63