Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.00 / $207.85 / $457.82	Professional		$159.00	$207.85	$457.82
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 $270.26 / $270.26 / $270.26	Professional		$270.26	$270.26	$270.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $270.26 / $270.26 / $321.25	Facility		$270.26	$270.26	$321.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.38 / $192.48 / $353.01	Professional		$138.38	$192.48	$353.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $145.01 / $225.42 / $321.25	Facility		$145.01	$225.42	$321.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $185.37 / $316.16 / $466.71	Professional		$185.37	$316.16	$466.71
United Facility/Professional Professional Modifier Low / Median / High Price $268.37 / $319.76 / $365.44	Professional		$268.37	$319.76	$365.44