Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $322.92 / $322.92 / $322.92	Facility		$322.92	$322.92	$322.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.58 / $133.08 / $181.50	Professional		$102.58	$133.08	$181.50
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 $132.26 / $203.48 / $231.35	Professional		$132.26	$203.48	$231.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.48 / $231.35 / $231.35	Facility		$203.48	$231.35	$231.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.00 / $182.55 / $229.62	Professional		$101.00	$182.55	$229.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $124.37 / $143.57 / $212.18	Facility		$124.37	$143.57	$212.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.00 / $175.67 / $281.19	Professional		$93.00	$175.67	$281.19
United Facility/Professional Professional Modifier Low / Median / High Price $105.98 / $153.69 / $288.20	Professional		$105.98	$153.69	$288.20