Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $260.30 / $260.30 / $260.30	Facility		$260.30	$260.30	$260.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.91 / $232.10 / $260.30	Professional		$216.91	$232.10	$260.30
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 $170.69 / $227.58 / $227.58	Professional		$170.69	$227.58	$227.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.19 / $238.19 / $238.19	Facility		$238.19	$238.19	$238.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.19 / $238.19 / $238.19	Professional		$238.19	$238.19	$238.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $158.28 / $165.69 / $238.19	Facility		$158.28	$165.69	$238.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $238.19 / $238.19 / $238.19	Professional		$238.19	$238.19	$238.19
United Facility/Professional Professional Modifier Low / Median / High Price $247.53 / $255.20 / $262.86	Professional		$247.53	$255.20	$262.86