Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $390.60 / $390.60 / $1,852.86	Facility		$390.60	$390.60	$1,852.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.08 / $254.08 / $254.08	Professional		$254.08	$254.08	$254.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $791.62 / $77,999.99 / $94,999.99	Facility		$791.62	$77,999.99	$94,999.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $187.00 / $336.27 / $710.60	Facility		$187.00	$336.27	$710.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.20 / $260.20 / $358.07	Professional		$260.20	$260.20	$358.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $187.00 / $336.27 / $710.60	Facility		$187.00	$336.27	$710.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $202.83 / $287.35 / $394.26	Professional		$202.83	$287.35	$394.26
United Facility/Professional Professional Modifier Low / Median / High Price $255.10 / $255.10 / $255.10	Professional		$255.10	$255.10	$255.10