Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.25 / $133.72 / $353.47	Professional		$111.25	$133.72	$353.47
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 $188.16 / $221.36 / $221.36	Professional		$188.16	$221.36	$221.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.36 / $221.36 / $221.36	Facility		$221.36	$221.36	$221.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.27 / $199.28 / $315.30	Professional		$138.27	$199.28	$315.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.65 / $162.47 / $266.50	Facility		$102.65	$162.47	$266.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $147.56 / $242.10 / $378.27	Professional		$147.56	$242.10	$378.27
United Facility/Professional Professional Modifier Low / Median / High Price $185.85 / $237.80 / $281.39	Professional		$185.85	$237.80	$281.39