Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.20 / $268.20 / $268.20	Facility		$268.20	$268.20	$268.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.06 / $195.83 / $317.66	Professional		$163.06	$195.83	$317.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $281.66 / $77,999.99 / $94,999.99	Facility		$281.66	$77,999.99	$94,999.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.85 / $98.85 / $173.22	Facility		$98.85	$98.85	$173.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.85 / $215.17 / $215.17	Professional		$98.85	$215.17	$215.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $98.85 / $98.85 / $173.22	Facility		$98.85	$98.85	$173.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $59.23 / $91.12 / $215.17	Professional		$59.23	$91.12	$215.17
United Facility/Professional Professional Modifier Low / Median / High Price $217.10 / $217.10 / $230.54	Professional		$217.10	$217.10	$230.54