Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.80 / $200.85 / $527.13	Professional		$92.80	$200.85	$527.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $705.03 / $77,999.99 / $94,999.99	Facility		$705.03	$77,999.99	$94,999.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $155.11 / $155.11 / $428.75	Facility		$155.11	$155.11	$428.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.42 / $196.75 / $360.70	Professional		$105.42	$196.75	$360.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.05 / $231.38 / $373.81	Facility		$102.05	$231.38	$373.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $132.44 / $259.67 / $495.67	Professional		$132.44	$259.67	$495.67
United Facility/Professional Professional Modifier Low / Median / High Price $303.91 / $343.84 / $417.52	Professional		$303.91	$343.84	$417.52