Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.99 / $184.50 / $459.80	Facility		$63.99	$184.50	$459.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.14 / $37.34 / $506.49	Professional		$33.14	$37.34	$506.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $105.55 / $105.55 / $91,999.99	Facility		$105.55	$105.55	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.55 / $105.55 / $105.55	Professional		$105.55	$105.55	$105.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.22 / $153.60 / $232.77	Facility		$114.22	$153.60	$232.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $113.58 / $114.22	Professional		$19.55	$113.58	$114.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.24 / $133.91 / $232.77	Facility		$41.24	$133.91	$232.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.89 / $70.89 / $114.22	Professional		$70.89	$70.89	$114.22
United Facility/Professional Professional Modifier Low / Median / High Price $17.07 / $33.08 / $78.77	Professional		$17.07	$33.08	$78.77