Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.32 / $143.32 / $143.32	Facility		$143.32	$143.32	$143.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.09 / $127.54 / $143.32	Professional		$93.09	$127.54	$143.32
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
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.60 / $76.67 / $119.39	Professional		$50.60	$76.67	$119.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.47 / $134.47 / $134.47	Facility		$134.47	$134.47	$134.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.47 / $134.47 / $134.47	Professional		$134.47	$134.47	$134.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.91 / $80.43 / $134.47	Facility		$72.91	$80.43	$134.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $134.47 / $134.47 / $134.47	Professional		$134.47	$134.47	$134.47
United Facility/Professional Professional Modifier Low / Median / High Price $134.99 / $134.99 / $144.07	Professional		$134.99	$134.99	$144.07