Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.09 / $308.58 / $495.73	Facility		$191.09	$308.58	$495.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.62 / $156.88 / $480.00	Professional		$142.62	$156.88	$480.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $191.12 / $191.12 / $77,999.99	Facility		$191.12	$191.12	$77,999.99
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 Professional Modifier Low / Median / High Price $74.17 / $74.17 / $74.17	Professional		$74.17	$74.17	$74.17
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 $94.52 / $95.27 / $158.79	Professional		$94.52	$95.27	$158.79