Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $629.28 / $629.28 / $629.28	Facility		$629.28	$629.28	$629.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.77 / $162.77 / $162.77	Professional		$162.77	$162.77	$162.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $371.19 / $81,499.99 / $94,999.99	Facility		$371.19	$81,499.99	$94,999.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $236.82 / $466.54 / $899.92	Facility		$236.82	$466.54	$899.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.65 / $119.36 / $149.19	Professional		$48.65	$119.36	$149.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.62 / $307.87 / $466.54	Facility		$97.62	$307.87	$466.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $132.31 / $192.85 / $298.88	Professional		$132.31	$192.85	$298.88
United Facility/Professional Professional Modifier Low / Median / High Price $56.99 / $61.24 / $145.80	Professional		$56.99	$61.24	$145.80