Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.12 / $78.12 / $431.77	Facility		$78.12	$78.12	$431.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.23 / $108.46 / $929.84	Professional		$101.23	$108.46	$929.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $193.78 / $503.83 / $94,999.99	Facility		$193.78	$503.83	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.78 / $193.78 / $193.78	Professional		$193.78	$193.78	$193.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.68 / $245.84 / $824.28	Facility		$209.68	$245.84	$824.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.74 / $209.68 / $209.68	Professional		$85.74	$209.68	$209.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $209.68 / $245.84 / $824.28	Facility		$209.68	$245.84	$824.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $130.15 / $130.15 / $209.68	Professional		$130.15	$130.15	$209.68
United Facility/Professional Professional Modifier Low / Median / High Price $86.77 / $86.77 / $159.07	Professional		$86.77	$86.77	$159.07