Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.58 / $115.39 / $135.75	Facility		$99.58	$115.39	$135.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.56 / $119.76 / $155.43	Professional		$102.56	$119.76	$155.43
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $26.28 / $26.28 / $147.68	Professional	25	$26.28	$26.28	$147.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56,799.99 / $68,899.99 / $81,099.99	Facility		$56,799.99	$68,899.99	$81,099.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.35 / $130.12 / $166.17	Professional		$117.35	$130.12	$166.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.17 / $244.17 / $342.88	Professional		$244.17	$244.17	$342.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $110.97 / $144.13	Facility		$60.00	$110.97	$144.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $111.28 / $244.17 / $342.88	Professional		$111.28	$244.17	$342.88
United Facility/Professional Professional Modifier Low / Median / High Price $126.43 / $175.14 / $223.20	Professional		$126.43	$175.14	$223.20