Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.90 / $838.15 / $838.15	Professional		$149.90	$838.15	$838.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $174.67 / $64,999.99 / $94,999.99	Facility		$174.67	$64,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.67 / $174.67 / $174.67	Professional		$174.67	$174.67	$174.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $189.01 / $221.60 / $743.00	Facility		$189.01	$221.60	$743.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.65 / $189.01 / $189.01	Professional		$89.65	$189.01	$189.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $189.01 / $221.60 / $743.00	Facility		$189.01	$221.60	$743.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.32 / $117.32 / $189.01	Professional		$117.32	$117.32	$189.01
United Facility/Professional Professional Modifier Low / Median / High Price $54.75 / $54.75 / $130.35	Professional		$54.75	$54.75	$130.35