Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.79 / $117.79 / $117.79	Facility		$117.79	$117.79	$117.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.20 / $98.15 / $119.00	Professional		$65.20	$98.15	$119.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.00 / $56,799.99 / $81,099.99	Facility		$275.00	$56,799.99	$81,099.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.53 / $86.81 / $115.75	Professional		$59.53	$86.81	$115.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.58 / $96.58 / $96.58	Facility		$96.58	$96.58	$96.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.58 / $96.58 / $96.58	Professional		$96.58	$96.58	$96.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.49 / $96.58 / $96.58	Facility		$83.49	$96.58	$96.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $96.58 / $96.58 / $96.58	Professional		$96.58	$96.58	$96.58
United Facility/Professional Facility Modifier Low / Median / High Price $83.49 / $83.49 / $83.49	Facility		$83.49	$83.49	$83.49
United Facility/Professional Professional Modifier Low / Median / High Price $97.44 / $103.33 / $103.48	Professional		$97.44	$103.33	$103.48