Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.22 / $265.22 / $265.22	Facility		$265.22	$265.22	$265.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.53 / $157.96 / $546.00	Professional		$115.53	$157.96	$546.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $115.53 / $135.22 / $195.00	Professional	25	$115.53	$135.22	$195.00
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 $261.32 / $261.32 / $261.32	Professional		$261.32	$261.32	$261.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $261.32 / $261.32 / $261.32	Facility		$261.32	$261.32	$261.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.60 / $195.17 / $261.32	Professional		$147.60	$195.17	$261.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $137.30 / $192.38 / $299.17	Facility		$137.30	$192.38	$299.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $158.52 / $194.71 / $264.20	Professional		$158.52	$194.71	$264.20
United Facility/Professional Professional Modifier Low / Median / High Price $234.71 / $277.82 / $318.13	Professional		$234.71	$277.82	$318.13