Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.23 / $150.40 / $168.00	Facility		$83.23	$150.40	$168.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.59 / $100.54 / $249.19	Professional		$62.59	$100.54	$249.19
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 $129.35 / $129.35 / $129.35	Professional		$129.35	$129.35	$129.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.35 / $129.35 / $153.75	Facility		$129.35	$129.35	$153.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.15 / $91.39 / $205.07	Professional		$66.15	$91.39	$205.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.84 / $111.95 / $179.63	Facility		$68.84	$111.95	$179.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $94.14 / $156.91 / $237.02	Professional		$94.14	$156.91	$237.02
United Facility/Professional Professional Modifier Low / Median / High Price $146.88 / $161.28 / $182.54	Professional		$146.88	$161.28	$182.54