Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.75 / $216.86 / $1,212.51	Professional		$184.75	$216.86	$1,212.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $252.68 / $68,099.99 / $94,999.99	Facility		$252.68	$68,099.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $252.68 / $252.68 / $252.68	Professional		$252.68	$252.68	$252.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $273.43 / $320.57 / $1,074.84	Facility		$273.43	$320.57	$1,074.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.50 / $273.43 / $273.43	Professional		$123.50	$273.43	$273.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $273.43 / $320.57 / $1,074.84	Facility		$273.43	$320.57	$1,074.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $169.71 / $169.71 / $273.43	Professional		$169.71	$169.71	$273.43
United Facility/Professional Facility Modifier Low / Median / High Price $226.28 / $226.28 / $226.28	Facility		$226.28	$226.28	$226.28
United Facility/Professional Professional Modifier Low / Median / High Price $113.14 / $113.14 / $207.43	Professional		$113.14	$113.14	$207.43