Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $873.58 / $873.58 / $873.58	Professional		$873.58	$873.58	$873.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $182.05 / $182.05 / $91,999.99	Facility		$182.05	$182.05	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.05 / $182.05 / $182.05	Professional		$182.05	$182.05	$182.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.00 / $264.93 / $401.47	Facility		$197.00	$264.93	$401.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.39 / $195.14 / $197.00	Professional		$93.39	$195.14	$197.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $197.00 / $264.93 / $401.47	Facility		$197.00	$264.93	$401.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $122.27 / $122.27 / $197.00	Professional		$122.27	$122.27	$197.00
United Facility/Professional Professional Modifier Low / Median / High Price $57.06 / $57.06 / $232.61	Professional		$57.06	$57.06	$232.61