Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.01 / $392.49 / $545.24	Facility		$265.01	$392.49	$545.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.23 / $112.83 / $630.85	Professional		$75.23	$112.83	$630.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.47 / $131.47 / $91,999.99	Facility		$131.47	$131.47	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.47 / $131.47 / $131.47	Professional		$131.47	$131.47	$131.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.26 / $191.31 / $289.92	Facility		$142.26	$191.31	$289.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.23 / $140.94 / $142.26	Professional		$44.23	$140.94	$142.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $142.26 / $191.31 / $289.92	Facility		$142.26	$191.31	$289.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $88.30 / $88.30 / $142.26	Professional		$88.30	$88.30	$142.26
United Facility/Professional Professional Modifier Low / Median / High Price $36.85 / $41.21 / $98.11	Professional		$36.85	$41.21	$98.11