Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $491.30 / $491.30 / $491.30	Facility		$491.30	$491.30	$491.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.71 / $1,116.63 / $1,116.63	Professional		$199.71	$1,116.63	$1,116.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $232.70 / $1,265.39 / $94,999.99	Facility		$232.70	$1,265.39	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $232.70 / $232.70 / $232.70	Professional		$232.70	$232.70	$232.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.81 / $295.22 / $989.86	Facility		$251.81	$295.22	$989.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.32 / $251.81 / $251.81	Professional		$114.32	$251.81	$251.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $251.81 / $295.22 / $989.86	Facility		$251.81	$295.22	$989.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $156.29 / $156.29 / $251.81	Professional		$156.29	$156.29	$251.81
United Facility/Professional Professional Modifier Low / Median / High Price $104.20 / $104.20 / $173.66	Professional		$104.20	$104.20	$173.66