Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.54 / $120.17 / $141.37	Facility		$103.54	$120.17	$141.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.67 / $123.62 / $160.58	Professional		$106.67	$123.62	$160.58
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $127.06 / $127.06 / $127.06	Professional	25	$127.06	$127.06	$127.06
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 $121.82 / $146.18 / $191.41	Professional		$121.82	$146.18	$191.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.07 / $248.07 / $248.07	Professional		$248.07	$248.07	$248.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $126.15 / $153.41	Facility		$50.00	$126.15	$153.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $115.23 / $115.23 / $248.07	Professional		$115.23	$115.23	$248.07
United Facility/Professional Professional Modifier Low / Median / High Price $135.08 / $183.60 / $226.80	Professional		$135.08	$183.60	$226.80