Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.91 / $216.91 / $238.61	Professional		$216.91	$216.91	$238.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $522.94 / $77,999.99 / $94,999.99	Facility		$522.94	$77,999.99	$94,999.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.10 / $216.10 / $376.47	Facility		$216.10	$216.10	$376.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.10 / $238.19 / $238.19	Professional		$216.10	$238.19	$238.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $216.10 / $216.10 / $376.47	Facility		$216.10	$216.10	$376.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $129.69 / $199.50 / $255.92	Professional		$129.69	$199.50	$255.92
United Facility/Professional Professional Modifier Low / Median / High Price $247.53 / $247.53 / $262.86	Professional		$247.53	$247.53	$262.86