Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.45 / $181.45 / $181.45	Facility		$181.45	$181.45	$181.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.52 / $68.37 / $88.47	Professional		$55.52	$68.37	$88.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64,999.99 / $81,499.99 / $94,999.99	Facility		$64,999.99	$81,499.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.77 / $127.77 / $127.77	Professional		$127.77	$127.77	$127.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.77 / $127.77 / $151.88	Facility		$127.77	$127.77	$151.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.22 / $123.48 / $175.52	Professional		$55.22	$123.48	$175.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $127.77 / $127.77 / $151.88	Facility		$127.77	$127.77	$151.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $98.33 / $175.52	Professional		$67.61	$98.33	$175.52
United Facility/Professional Professional Modifier Low / Median / High Price $97.30 / $117.43 / $132.49	Professional		$97.30	$117.43	$132.49