Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.71 / $359.61 / $359.61	Facility		$228.71	$359.61	$359.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.98 / $111.61 / $824.91	Professional		$67.98	$111.61	$824.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $171.91 / $446.97 / $94,999.99	Facility		$171.91	$446.97	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.91 / $171.91 / $171.91	Professional		$171.91	$171.91	$171.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.02 / $218.09 / $731.25	Facility		$186.02	$218.09	$731.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.02 / $186.02 / $186.02	Professional		$83.02	$186.02	$186.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.02 / $218.09 / $731.25	Facility		$186.02	$218.09	$731.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $115.46 / $115.46 / $186.02	Professional		$115.46	$115.46	$186.02
United Facility/Professional Professional Modifier Low / Median / High Price $53.88 / $53.88 / $128.29	Professional		$53.88	$53.88	$128.29