Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.37 / $165.12 / $331.15	Professional		$124.37	$165.12	$331.15
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $280.99 / $280.99 / $280.99	Professional	25	$280.99	$280.99	$280.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64,999.99 / $64,999.99 / $89,999.99	Facility		$64,999.99	$64,999.99	$89,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.62 / $267.11 / $306.02	Professional		$173.62	$267.11	$306.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $267.11 / $306.02 / $306.02	Facility		$267.11	$306.02	$306.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.64 / $203.81 / $306.02	Professional		$98.64	$203.81	$306.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $146.09 / $180.71 / $266.99	Facility		$146.09	$180.71	$266.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $104.00 / $227.04 / $396.75	Professional		$104.00	$227.04	$396.75
United Facility/Professional Professional Modifier Low / Median / High Price $147.41 / $218.54 / $400.00	Professional		$147.41	$218.54	$400.00