Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.64 / $365.75 / $829.00	Facility		$89.64	$365.75	$829.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.71 / $149.88 / $906.00	Professional		$92.71	$149.88	$906.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $191.12 / $191.12 / $91,999.99	Facility		$191.12	$191.12	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.12 / $191.12 / $191.12	Professional		$191.12	$191.12	$191.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.95 / $278.13 / $812.99	Facility		$213.95	$278.13	$812.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.12 / $88.12 / $88.12	Professional		$88.12	$88.12	$88.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $213.95 / $278.13 / $812.99	Facility		$213.95	$278.13	$812.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $128.37 / $128.37 / $178.29	Professional		$128.37	$128.37	$178.29
United Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $59.90 / $142.63	Professional		$59.90	$59.90	$142.63