Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.62 / $214.68 / $441.87	Professional		$154.62	$214.68	$441.87
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $63.63 / $63.63 / $63.63	Professional	25	$63.63	$63.63	$63.63
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 $301.81 / $366.04 / $430.63	Professional		$301.81	$366.04	$430.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $256.54 / $301.81 / $430.63	Facility		$256.54	$301.81	$430.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.44 / $301.81 / $489.23	Professional		$188.44	$301.81	$489.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $157.93 / $229.00 / $372.43	Facility		$157.93	$229.00	$372.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $404.38 / $652.76	Professional		$248.50	$404.38	$652.76
United Facility/Professional Professional Modifier Low / Median / High Price $345.45 / $411.60 / $470.40	Professional		$345.45	$411.60	$470.40