Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.42 / $128.87 / $156.60	Facility		$31.42	$128.87	$156.60
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $183.21 / $183.21 / $183.21	Facility	25	$183.21	$183.21	$183.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.98 / $162.82 / $416.09	Professional		$119.98	$162.82	$416.09
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $149.58 / $224.10 / $578.00	Professional	25	$149.58	$224.10	$578.00
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 $218.73 / $218.73 / $326.52	Professional		$218.73	$218.73	$326.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.73 / $218.73 / $388.13	Facility		$218.73	$218.73	$388.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.46 / $229.05 / $384.31	Professional		$155.46	$229.05	$384.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.71 / $180.43 / $291.55	Facility		$120.71	$180.43	$291.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $146.51 / $216.63 / $326.52	Professional		$146.51	$216.63	$326.52
United Facility/Professional Professional Modifier Low / Median / High Price $244.40 / $301.61 / $375.34	Professional		$244.40	$301.61	$375.34