Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.30 / $114.30 / $235.13	Facility		$114.30	$114.30	$235.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.00 / $105.00 / $163.30	Professional		$92.00	$105.00	$163.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $146.62 / $77,999.99 / $94,999.99	Facility		$146.62	$77,999.99	$94,999.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.30 / $67.30 / $117.79	Facility		$67.30	$67.30	$117.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.30 / $106.62 / $106.62	Professional		$67.30	$106.62	$106.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.30 / $67.30 / $117.79	Facility		$67.30	$67.30	$117.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $62.55 / $106.62	Professional		$40.65	$62.55	$106.62
United Facility/Professional Facility Modifier Low / Median / High Price $97.11 / $97.11 / $97.11	Facility		$97.11	$97.11	$97.11
United Facility/Professional Professional Modifier Low / Median / High Price $109.16 / $109.16 / $115.92	Professional		$109.16	$109.16	$115.92