Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.22 / $172.17 / $518.46	Facility		$86.22	$172.17	$518.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.39 / $111.96 / $499.00	Professional		$99.39	$111.96	$499.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.37 / $128.37 / $77,999.99	Facility		$128.37	$128.37	$77,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.37 / $128.37 / $128.37	Professional		$128.37	$128.37	$128.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.69 / $186.81 / $546.05	Facility		$143.69	$186.81	$546.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.52 / $58.52 / $58.52	Professional		$58.52	$58.52	$58.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $143.69 / $186.81 / $546.05	Facility		$143.69	$186.81	$546.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $86.22 / $86.22 / $119.75	Professional		$86.22	$86.22	$119.75
United Facility/Professional Professional Modifier Low / Median / High Price $40.24 / $40.24 / $95.80	Professional		$40.24	$40.24	$95.80