Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.43 / $245.70 / $347.34	Facility		$175.43	$245.70	$347.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.53 / $517.36 / $517.36	Professional		$92.53	$517.36	$517.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.82 / $68,099.99 / $94,999.99	Facility		$107.82	$68,099.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.82 / $107.82 / $107.82	Professional		$107.82	$107.82	$107.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.67 / $156.90 / $237.76	Facility		$116.67	$156.90	$237.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.95 / $115.64 / $116.67	Professional		$5.95	$115.64	$116.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.51 / $136.78 / $237.76	Facility		$12.51	$136.78	$237.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.41 / $72.41 / $116.67	Professional		$72.41	$72.41	$116.67
United Facility/Professional Professional Modifier Low / Median / High Price $4.93 / $33.79 / $80.45	Professional		$4.93	$33.79	$80.45