Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.76 / $117.04 / $350.31	Professional		$83.76	$117.04	$350.31
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 $185.08 / $185.08 / $185.08	Professional		$185.08	$185.08	$185.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $185.08 / $185.08 / $220.00	Facility		$185.08	$185.08	$220.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.15 / $127.95 / $243.65	Professional		$84.15	$127.95	$243.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $88.36 / $114.72 / $185.08	Facility		$88.36	$114.72	$185.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.60 / $200.46 / $292.16	Professional		$107.60	$200.46	$292.16
United Facility/Professional Professional Modifier Low / Median / High Price $149.94 / $167.02 / $186.33	Professional		$149.94	$167.02	$186.33