Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.84 / $131.84 / $131.84	Facility		$131.84	$131.84	$131.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $98.15 / $118.77	Professional		$75.00	$98.15	$118.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64,999.99 / $81,499.99 / $94,999.99	Facility		$64,999.99	$81,499.99	$94,999.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.30 / $95.30 / $175.91	Facility		$95.30	$95.30	$175.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.30 / $96.58 / $96.58	Professional		$95.30	$96.58	$96.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.30 / $95.30 / $175.91	Facility		$95.30	$95.30	$175.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $96.58 / $106.49 / $138.90	Professional		$96.58	$106.49	$138.90
United Facility/Professional Professional Modifier Low / Median / High Price $97.44 / $97.44 / $103.48	Professional		$97.44	$97.44	$103.48