Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.50 / $169.50 / $169.50	Facility		$169.50	$169.50	$169.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $169.50	Professional		$141.25	$141.25	$169.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $236.70 / $824.69 / $1,414.28	Facility		$236.70	$824.69	$1,414.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.59 / $131.19 / $131.19	Professional		$86.59	$131.19	$131.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.50 / $148.50 / $148.50	Facility		$148.50	$148.50	$148.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.50 / $148.50 / $148.50	Professional		$148.50	$148.50	$148.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.75 / $148.50 / $153.60	Facility		$128.75	$148.50	$153.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $148.50 / $148.50 / $148.50	Professional		$148.50	$148.50	$148.50
United Facility/Professional Professional Modifier Low / Median / High Price $158.96 / $158.96 / $190.75	Professional		$158.96	$158.96	$190.75