Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,760.40 / $1,760.40 / $3,881.05	Facility		$1,760.40	$1,760.40	$3,881.05
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $125.00 / $125.00 / $125.00	Facility	25	$125.00	$125.00	$125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.83 / $232.70 / $555.46	Professional		$189.83	$232.70	$555.46
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $189.83 / $341.23 / $892.00	Professional	25	$189.83	$341.23	$892.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $68,099.99 / $68,099.99 / $81,499.99	Facility		$68,099.99	$68,099.99	$81,499.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $298.60 / $331.78 / $430.10	Professional		$298.60	$331.78	$430.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $430.10 / $430.10 / $430.10	Facility		$430.10	$430.10	$430.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.74 / $331.78 / $531.70	Professional		$207.74	$331.78	$531.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $178.20 / $251.85 / $465.40	Facility		$178.20	$251.85	$465.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $272.30 / $443.52 / $693.26	Professional		$272.30	$443.52	$693.26
United Facility/Professional Professional Modifier Low / Median / High Price $370.83 / $441.84 / $511.49	Professional		$370.83	$441.84	$511.49