Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.04 / $827.73 / $827.73	Professional		$148.04	$827.73	$827.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $172.50 / $172.50 / $91,999.99	Facility		$172.50	$172.50	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.50 / $172.50 / $172.50	Professional		$172.50	$172.50	$172.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.66 / $218.84 / $733.76	Facility		$186.66	$218.84	$733.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.46 / $186.66 / $186.66	Professional		$88.46	$186.66	$186.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.66 / $218.84 / $733.76	Facility		$186.66	$218.84	$733.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $115.86 / $115.86 / $186.66	Professional		$115.86	$115.86	$186.66
United Facility/Professional Professional Modifier Low / Median / High Price $54.07 / $54.07 / $128.72	Professional		$54.07	$54.07	$128.72