Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.73 / $189.48 / $329.73	Professional		$79.73	$189.48	$329.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64,999.99 / $77,999.99 / $94,999.99	Facility		$64,999.99	$77,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.83 / $118.83 / $255.01	Professional		$118.83	$118.83	$255.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.83 / $255.01 / $303.13	Facility		$118.83	$255.01	$303.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.43 / $178.22 / $340.71	Professional		$92.43	$178.22	$340.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.37 / $198.95 / $423.04	Facility		$87.37	$198.95	$423.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.66 / $199.51 / $410.72	Professional		$107.66	$199.51	$410.72
United Facility/Professional Professional Modifier Low / Median / High Price $238.77 / $299.73 / $366.68	Professional		$238.77	$299.73	$366.68