Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $324.38 / $471.60 / $666.40	Facility		$324.38	$471.60	$666.40
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $420.91 / $539.89 / $1,166.20	Facility	25	$420.91	$539.89	$1,166.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.62 / $68.14 / $158.75	Professional		$51.62	$68.14	$158.75
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $70.11 / $110.50 / $231.73	Professional	25	$70.11	$110.50	$231.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $81,499.99 / $81,499.99 / $81,499.99	Facility		$81,499.99	$81,499.99	$81,499.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.30 / $110.94 / $110.94	Professional		$94.30	$110.94	$110.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.48 / $99.96 / $110.94	Professional		$61.48	$99.96	$110.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.51 / $67.08 / $113.22	Facility		$54.51	$67.08	$113.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $68.26 / $107.86 / $176.71	Professional		$68.26	$107.86	$176.71
United Facility/Professional Professional Modifier Low / Median / High Price $84.29 / $103.03 / $118.99	Professional		$84.29	$103.03	$118.99