Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.15 / $131.35 / $246.46	Professional		$105.15	$131.35	$246.46
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $159.36 / $159.36 / $261.39	Professional	25	$159.36	$159.36	$261.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $68,099.99 / $68,099.99 / $81,499.99	Facility		$68,099.99	$68,099.99	$81,499.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.06 / $205.06 / $261.85	Professional		$205.06	$205.06	$261.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.06 / $205.06 / $261.85	Facility		$205.06	$205.06	$261.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.90 / $205.06 / $261.85	Professional		$147.90	$205.06	$261.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.46 / $160.65 / $274.51	Facility		$117.46	$160.65	$274.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $170.05 / $264.20 / $399.64	Professional		$170.05	$264.20	$399.64
United Facility/Professional Professional Modifier Low / Median / High Price $210.15 / $257.39 / $308.87	Professional		$210.15	$257.39	$308.87