Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.46 / $375.06 / $569.29	Facility		$172.46	$375.06	$569.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.00 / $312.94 / $505.16	Professional		$165.00	$312.94	$505.16
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 $276.74 / $368.99 / $368.99	Professional		$276.74	$368.99	$368.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $307.55 / $307.55 / $307.55	Facility		$307.55	$307.55	$307.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $307.55 / $307.55 / $307.55	Professional		$307.55	$307.55	$307.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $298.04 / $307.55 / $307.55	Facility		$298.04	$307.55	$307.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $307.55 / $307.55 / $307.55	Professional		$307.55	$307.55	$307.55
United Facility/Professional Professional Modifier Low / Median / High Price $310.30 / $329.52 / $334.54	Professional		$310.30	$329.52	$334.54