Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.89 / $195.89 / $195.89	Facility		$195.89	$195.89	$195.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.24 / $163.24 / $195.89	Professional		$163.24	$163.24	$195.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $238.98 / $832.64 / $1,427.91	Facility		$238.98	$832.64	$1,427.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.15 / $127.50 / $130.00	Professional		$84.15	$127.50	$130.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $179.39 / $179.39 / $179.39	Facility		$179.39	$179.39	$179.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.39 / $179.39 / $179.39	Professional		$179.39	$179.39	$179.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.31 / $135.44 / $179.39	Facility		$125.31	$135.44	$179.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $179.39 / $179.39 / $179.39	Professional		$179.39	$179.39	$179.39
United Facility/Professional Professional Modifier Low / Median / High Price $186.43 / $192.05 / $197.98	Professional		$186.43	$192.05	$197.98