Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.00 / $212.00 / $212.00	Facility		$212.00	$212.00	$212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.39 / $212.00 / $365.83	Professional		$174.39	$212.00	$365.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56,799.99 / $68,899.99 / $81,099.99	Facility		$56,799.99	$68,899.99	$81,099.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.81 / $203.81 / $203.81	Facility		$203.81	$203.81	$203.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.81 / $203.81 / $203.81	Professional		$203.81	$203.81	$203.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $119.30 / $156.25 / $203.81	Facility		$119.30	$156.25	$203.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $203.81 / $203.81 / $203.81	Professional		$203.81	$203.81	$203.81
United Facility/Professional Professional Modifier Low / Median / High Price $184.17 / $218.36 / $218.36	Professional		$184.17	$218.36	$218.36