Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.56 / $130.19 / $185.58	Professional		$118.56	$130.19	$185.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $475.83 / $77,999.99 / $94,999.99	Facility		$475.83	$77,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.80 / $97.80 / $192.97	Professional		$97.80	$97.80	$192.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.98 / $192.97 / $229.38	Facility		$117.98	$192.97	$229.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.41 / $173.67 / $563.99	Professional		$84.41	$173.67	$563.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $106.92 / $125.79 / $207.16	Facility		$106.92	$125.79	$207.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $126.17 / $192.97 / $304.58	Professional		$126.17	$192.97	$304.58
United Facility/Professional Professional Modifier Low / Median / High Price $127.77 / $214.47 / $276.44	Professional		$127.77	$214.47	$276.44