Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $100.00 / $216.48	Professional		$71.20	$100.00	$216.48
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $145.34 / $145.34 / $145.34	Professional	25	$145.34	$145.34	$145.34
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 $140.91 / $140.91 / $211.90	Professional		$140.91	$140.91	$211.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.91 / $140.91 / $251.88	Facility		$140.91	$140.91	$251.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.69 / $138.75 / $211.90	Professional		$61.69	$138.75	$211.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $73.88 / $116.54 / $190.76	Facility		$73.88	$116.54	$190.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $86.50 / $135.99 / $209.21	Professional		$86.50	$135.99	$209.21
United Facility/Professional Professional Modifier Low / Median / High Price $95.89 / $148.47 / $228.02	Professional		$95.89	$148.47	$228.02