Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.22 / $76.22 / $76.22	Facility		$76.22	$76.22	$76.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.83 / $134.83 / $209.41	Professional		$134.83	$134.83	$209.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.84 / $77,999.99 / $94,999.99	Facility		$234.84	$77,999.99	$94,999.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.56 / $123.56 / $215.95	Facility		$123.56	$123.56	$215.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.56 / $148.32 / $148.32	Professional		$123.56	$148.32	$148.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.56 / $123.56 / $215.95	Facility		$123.56	$123.56	$215.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.31 / $114.31 / $151.44	Professional		$74.31	$114.31	$151.44
United Facility/Professional Professional Modifier Low / Median / High Price $149.65 / $149.65 / $158.91	Professional		$149.65	$149.65	$158.91