Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.30 / $197.20 / $204.85	Facility		$134.30	$197.20	$204.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.77 / $100.14 / $121.60	Professional		$90.77	$100.14	$121.60
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 $41.63 / $55.50 / $55.50	Professional		$41.63	$55.50	$55.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.62 / $106.62 / $106.62	Facility		$106.62	$106.62	$106.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.62 / $106.62 / $106.62	Professional		$106.62	$106.62	$106.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.75 / $56.14 / $106.62	Facility		$34.75	$56.14	$106.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $106.62 / $106.62 / $106.62	Professional		$106.62	$106.62	$106.62
United Facility/Professional Professional Modifier Low / Median / High Price $109.16 / $115.46 / $115.92	Professional		$109.16	$115.46	$115.92