Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.50 / $211.50 / $956.60	Facility		$211.50	$211.50	$956.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.33 / $175.00 / $273.11	Professional		$151.33	$175.00	$273.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $278.82 / $77,999.99 / $94,999.99	Facility		$278.82	$77,999.99	$94,999.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.58 / $401.19 / $401.19	Facility		$169.58	$401.19	$401.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.76 / $186.76 / $401.19	Professional		$186.76	$186.76	$401.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $169.58 / $401.19 / $401.19	Facility		$169.58	$401.19	$401.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $186.76 / $255.16 / $471.60	Professional		$186.76	$255.16	$471.60
United Facility/Professional Professional Modifier Low / Median / High Price $188.43 / $188.43 / $200.10	Professional		$188.43	$188.43	$200.10