Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.94 / $158.22 / $158.22	Facility		$102.94	$158.22	$158.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $102.94 / $142.09	Professional		$102.94	$102.94	$142.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $227.12 / $832.79 / $1,357.01	Facility		$227.12	$832.79	$1,357.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.68 / $142.79 / $142.79	Professional		$119.68	$142.79	$142.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.94 / $102.94 / $102.94	Facility		$102.94	$102.94	$102.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $102.94 / $102.94	Professional		$102.94	$102.94	$102.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.94 / $102.94 / $147.50	Facility		$102.94	$102.94	$147.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $102.94 / $102.94	Professional		$102.94	$102.94	$102.94
United Facility/Professional Facility Modifier Low / Median / High Price $102.93 / $102.93 / $102.93	Facility		$102.93	$102.93	$102.93
United Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $102.94 / $102.94	Professional		$102.94	$102.94	$102.94