Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.77 / $741.77 / $741.77	Professional		$741.77	$741.77	$741.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.58 / $64,999.99 / $94,999.99	Facility		$154.58	$64,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.58 / $154.58 / $154.58	Professional		$154.58	$154.58	$154.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $167.27 / $224.95 / $340.89	Facility		$167.27	$224.95	$340.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.27 / $165.72 / $167.27	Professional		$79.27	$165.72	$167.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $167.27 / $224.95 / $340.89	Facility		$167.27	$224.95	$340.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $103.82 / $115.35 / $167.27	Professional		$103.82	$115.35	$167.27
United Facility/Professional Facility Modifier Low / Median / High Price $115.36 / $115.36 / $115.36	Facility		$115.36	$115.36	$115.36
United Facility/Professional Professional Modifier Low / Median / High Price $48.45 / $65.93 / $158.57	Professional		$48.45	$65.93	$158.57