Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.87 / $106.40 / $214.52	Professional		$90.87	$106.40	$214.52
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $95.30 / $200.00 / $461.73	Professional	25	$95.30	$200.00	$461.73
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 $150.47 / $167.20 / $188.24	Professional		$150.47	$167.20	$188.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.24 / $188.24 / $188.24	Facility		$188.24	$188.24	$188.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.13 / $166.96 / $241.48	Professional		$104.13	$166.96	$241.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $84.16 / $115.33 / $210.60	Facility		$84.16	$115.33	$210.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $122.66 / $203.41 / $313.27	Professional		$122.66	$203.41	$313.27
United Facility/Professional Professional Modifier Low / Median / High Price $165.24 / $197.64 / $228.35	Professional		$165.24	$197.64	$228.35
United Facility/Professional Professional Modifier 25 Low / Median / High Price $80.00 / $80.00 / $80.00	Professional	25	$80.00	$80.00	$80.00