Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.11 / $253.11 / $253.11	Facility		$253.11	$253.11	$253.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.03 / $99.03 / $99.03	Professional		$99.03	$99.03	$99.03
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
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.53 / $153.53 / $156.57	Facility		$153.53	$153.53	$156.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.29 / $80.29 / $153.53	Professional		$80.29	$80.29	$153.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $153.53 / $153.53 / $156.57	Facility		$153.53	$153.53	$156.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $80.29 / $133.82 / $183.61	Professional		$80.29	$133.82	$183.61
United Facility/Professional Professional Modifier Low / Median / High Price $24.54 / $63.23 / $90.50	Professional		$24.54	$63.23	$90.50