Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.32 / $168.32 / $375.76	Facility		$168.32	$168.32	$375.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $283.77 / $402.46	Professional		$250.00	$283.77	$402.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $431.82 / $77,999.99 / $94,999.99	Facility		$431.82	$77,999.99	$94,999.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $294.50 / $294.50 / $680.07	Facility		$294.50	$294.50	$680.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.60 / $253.60 / $294.50	Professional		$253.60	$253.60	$294.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $294.50 / $294.50 / $680.07	Facility		$294.50	$294.50	$680.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $253.60 / $279.89 / $365.09	Professional		$253.60	$279.89	$365.09
United Facility/Professional Professional Modifier Low / Median / High Price $271.57 / $291.52 / $309.58	Professional		$271.57	$291.52	$309.58