Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $720.80 / $720.80 / $1,211.25	Facility		$720.80	$720.80	$1,211.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.25 / $60.57 / $442.24	Professional		$52.25	$60.57	$442.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64,999.99 / $81,499.99 / $94,999.99	Facility		$64,999.99	$81,499.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.54 / $92.54 / $92.54	Professional		$92.54	$92.54	$92.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.54 / $92.54 / $110.00	Facility		$92.54	$92.54	$110.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.79 / $86.29 / $131.13	Professional		$58.79	$86.29	$131.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.25 / $60.74 / $92.54	Facility		$52.25	$60.74	$92.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.79 / $115.07 / $153.26	Professional		$63.79	$115.07	$153.26
United Facility/Professional Professional Modifier Low / Median / High Price $91.28 / $103.17 / $124.89	Professional		$91.28	$103.17	$124.89