Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.38 / $545.29 / $545.29	Facility		$52.38	$545.29	$545.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.06 / $75.23 / $414.16	Professional		$74.06	$75.23	$414.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.31 / $86.31 / $91,999.99	Facility		$86.31	$86.31	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.31 / $86.31 / $86.31	Professional		$86.31	$86.31	$86.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.39 / $125.60 / $190.33	Facility		$93.39	$125.60	$190.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.23 / $92.41 / $93.39	Professional		$44.23	$92.41	$93.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.39 / $109.50 / $190.33	Facility		$93.39	$109.50	$190.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.97 / $64.41 / $93.39	Professional		$57.97	$64.41	$93.39
United Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $36.81 / $110.28	Professional		$27.05	$36.81	$110.28