Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.30 / $132.30 / $132.30	Facility		$132.30	$132.30	$132.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.03 / $26.07 / $43.38	Professional		$23.03	$26.07	$43.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.64 / $81,499.99 / $94,999.99	Facility		$104.64	$81,499.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.08 / $22.08 / $22.08	Professional		$22.08	$22.08	$22.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.31 / $124.72 / $240.58	Facility		$63.31	$124.72	$240.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.93 / $31.80 / $39.75	Professional		$12.93	$31.80	$39.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.49 / $82.30 / $124.72	Facility		$9.49	$82.30	$124.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.26 / $51.30 / $79.90	Professional		$35.26	$51.30	$79.90
United Facility/Professional Professional Modifier Low / Median / High Price $13.86 / $16.37 / $38.97	Professional		$13.86	$16.37	$38.97