Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.31 / $91.43 / $133.19	Professional		$68.31	$91.43	$133.19
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 $77.23 / $118.83 / $153.53	Professional		$77.23	$118.83	$153.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.83 / $153.53 / $252.15	Facility		$118.83	$153.53	$252.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $102.00 / $149.96	Professional		$72.00	$102.00	$149.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.48 / $97.96 / $153.53	Facility		$69.48	$97.96	$153.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.41 / $105.41 / $183.61	Professional		$74.41	$105.41	$183.61
United Facility/Professional Professional Modifier Low / Median / High Price $99.63 / $159.03 / $193.11	Professional		$99.63	$159.03	$193.11