Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.01 / $54.01 / $265.39	Facility		$54.01	$54.01	$265.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.19 / $128.49 / $209.17	Professional		$76.19	$128.49	$209.17
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $78.18 / $138.02 / $207.12	Professional	25	$78.18	$138.02	$207.12
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 $185.03 / $205.59 / $205.59	Professional		$185.03	$205.59	$205.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.59 / $205.59 / $205.59	Facility		$205.59	$205.59	$205.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.36 / $140.22 / $205.59	Professional		$116.36	$140.22	$205.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.42 / $132.11 / $205.59	Facility		$107.42	$132.11	$205.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.90 / $132.11 / $205.59	Professional		$123.90	$132.11	$205.59
United Facility/Professional Professional Modifier Low / Median / High Price $159.25 / $188.50 / $221.20	Professional		$159.25	$188.50	$221.20