Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $323.59 / $331.13	Facility		$104.71	$323.59	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $97.72 / $125.89	Professional		$67.61	$97.72	$125.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $645.65 / $1,071.52	Facility		$302.00	$645.65	$1,071.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $81.28 / $93.33	Professional		$57.54	$81.28	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $95.50 / $144.54	Professional		$46.77	$95.50	$144.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $95.50 / $120.23	Facility		$41.69	$95.50	$120.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $95.50 / $162.18	Professional		$46.77	$95.50	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $89.13 / $89.13	Facility		$45.71	$89.13	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $60.26	Professional		$36.31	$36.31	$60.26