Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.36 / $182.70 / $182.70	Facility		$117.36	$182.70	$182.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $149.05 / $280.02	Professional		$117.36	$149.05	$280.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.20 / $616.09 / $1,034.90	Facility		$173.20	$616.09	$1,034.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.73 / $109.73 / $138.19	Professional		$109.73	$109.73	$138.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.36 / $117.36 / $117.36	Facility		$117.36	$117.36	$117.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $117.36 / $117.36	Professional		$117.36	$117.36	$117.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.14 / $117.36 / $117.36	Facility		$112.14	$117.36	$117.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $117.36 / $117.36	Professional		$117.36	$117.36	$117.36
United Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $117.36 / $117.36	Professional		$117.36	$117.36	$117.36