Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.91 / $107.52 / $323.98	Facility		$80.91	$107.52	$323.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.42 / $80.01 / $182.46	Professional		$58.42	$80.01	$182.46
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 $126.72 / $126.72 / $126.72	Professional		$126.72	$126.72	$126.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.72 / $126.72 / $150.63	Facility		$126.72	$126.72	$150.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.37 / $89.83 / $152.15	Professional		$64.37	$89.83	$152.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.81 / $84.36 / $127.77	Facility		$67.81	$84.36	$127.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.22 / $138.06 / $200.03	Professional		$74.22	$138.06	$200.03
United Facility/Professional Professional Modifier Low / Median / High Price $96.81 / $115.35 / $131.83	Professional		$96.81	$115.35	$131.83