Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.83 / $966.37 / $966.37	Professional		$172.83	$966.37	$966.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $523.61 / $68,999.99 / $94,999.99	Facility		$523.61	$68,999.99	$94,999.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.92 / $255.49 / $856.65	Facility		$217.92	$255.49	$856.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.26 / $217.92 / $217.92	Professional		$103.26	$217.92	$217.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $217.92 / $255.49 / $856.65	Facility		$217.92	$255.49	$856.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $135.26 / $135.26 / $217.92	Professional		$135.26	$135.26	$217.92
United Facility/Professional Professional Modifier Low / Median / High Price $90.17 / $90.17 / $165.32	Professional		$90.17	$90.17	$165.32