Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $552.69 / $552.69 / $552.69	Facility		$552.69	$552.69	$552.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.99 / $180.99 / $250.77	Professional		$180.99	$180.99	$250.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $292.20 / $68,099.99 / $94,999.99	Facility		$292.20	$68,099.99	$94,999.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.19 / $316.19 / $316.19	Facility		$316.19	$316.19	$316.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.69 / $313.36 / $316.19	Professional		$250.69	$313.36	$316.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $316.19 / $316.19 / $316.19	Facility		$316.19	$316.19	$316.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $196.25 / $196.25 / $316.19	Professional		$196.25	$196.25	$316.19
United Facility/Professional Facility Modifier Low / Median / High Price $218.06 / $218.06 / $218.06	Facility		$218.06	$218.06	$218.06
United Facility/Professional Professional Modifier Low / Median / High Price $91.59 / $91.59 / $218.06	Professional		$91.59	$91.59	$218.06