Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.98 / $577.60 / $1,304.30	Facility		$75.98	$577.60	$1,304.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.80 / $266.30 / $292.93	Professional		$136.80	$266.30	$292.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $871.18 / $77,999.99 / $94,999.99	Facility		$871.18	$77,999.99	$94,999.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.31 / $191.70 / $620.44	Facility		$97.31	$191.70	$620.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.70 / $272.70 / $620.44	Professional		$272.70	$272.70	$620.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.31 / $191.70 / $620.44	Facility		$97.31	$191.70	$620.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $231.30 / $327.68 / $607.38	Professional		$231.30	$327.68	$607.38
United Facility/Professional Professional Modifier Low / Median / High Price $267.37 / $267.37 / $267.37	Professional		$267.37	$267.37	$267.37