Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.04 / $187.04 / $187.04	Facility		$187.04	$187.04	$187.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.01 / $164.59 / $206.06	Professional		$154.01	$164.59	$206.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56,799.99 / $68,899.99 / $81,099.99	Facility		$56,799.99	$68,899.99	$81,099.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.41 / $175.41 / $175.41	Facility		$175.41	$175.41	$175.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.41 / $175.41 / $175.41	Professional		$175.41	$175.41	$175.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $150.85 / $175.41 / $175.41	Facility		$150.85	$175.41	$175.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $175.41 / $175.41 / $175.41	Professional		$175.41	$175.41	$175.41
United Facility/Professional Professional Modifier Low / Median / High Price $177.07 / $187.09 / $188.04	Professional		$177.07	$187.09	$188.04