Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $568.41 / $791.78 / $3,100.37	Facility		$568.41	$791.78	$3,100.37
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $316.35 / $1,287.90 / $2,660.76	Facility	25	$316.35	$1,287.90	$2,660.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.39 / $159.00 / $326.58	Professional		$110.39	$159.00	$326.58
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 $204.01 / $204.01 / $204.01	Professional		$204.01	$204.01	$204.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.01 / $204.01 / $242.50	Facility		$204.01	$204.01	$242.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.76 / $144.49 / $239.66	Professional		$103.76	$144.49	$239.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $108.78 / $162.72 / $242.50	Facility		$108.78	$162.72	$242.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $126.49 / $234.83 / $328.83	Professional		$126.49	$234.83	$328.83
United Facility/Professional Professional Modifier Low / Median / High Price $198.39 / $217.84 / $246.55	Professional		$198.39	$217.84	$246.55