Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.15 / $1,113.48 / $1,113.48	Professional		$199.15	$1,113.48	$1,113.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $232.05 / $64,999.99 / $94,999.99	Facility		$232.05	$64,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $232.05 / $232.05 / $232.05	Professional		$232.05	$232.05	$232.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.10 / $294.39 / $987.07	Facility		$251.10	$294.39	$987.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.08 / $251.10 / $251.10	Professional		$119.08	$251.10	$251.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $251.10 / $294.39 / $987.07	Facility		$251.10	$294.39	$987.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $155.85 / $155.85 / $251.10	Professional		$155.85	$155.85	$251.10
United Facility/Professional Professional Modifier Low / Median / High Price $103.90 / $103.90 / $173.17	Professional		$103.90	$103.90	$173.17