Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $439.32 / $439.32 / $439.32	Facility		$439.32	$439.32	$439.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.28 / $218.28 / $302.44	Professional		$218.28	$218.28	$302.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $352.41 / $352.41 / $91,999.99	Facility		$352.41	$352.41	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $352.41 / $352.41 / $352.41	Professional		$352.41	$352.41	$352.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $381.34 / $381.34 / $381.34	Facility		$381.34	$381.34	$381.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.27 / $381.34 / $381.34	Professional		$128.27	$381.34	$381.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $381.34 / $381.34 / $381.34	Facility		$381.34	$381.34	$381.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $236.69 / $236.69 / $381.34	Professional		$236.69	$236.69	$381.34
United Facility/Professional Professional Modifier Low / Median / High Price $110.46 / $110.46 / $262.99	Professional		$110.46	$110.46	$262.99