Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.52 / $816.54 / $816.54	Facility		$134.52	$816.54	$816.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.53 / $117.53 / $134.52	Professional		$117.53	$117.53	$134.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $168.52 / $617.95 / $1,006.94	Facility		$168.52	$617.95	$1,006.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.23 / $123.23 / $123.23	Professional		$123.23	$123.23	$123.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.36 / $120.36 / $120.36	Facility		$120.36	$120.36	$120.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.36 / $120.36 / $120.36	Professional		$120.36	$120.36	$120.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $118.00 / $120.36 / $120.36	Facility		$118.00	$120.36	$120.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $120.36 / $120.36 / $120.36	Professional		$120.36	$120.36	$120.36
United Facility/Professional Professional Modifier Low / Median / High Price $118.00 / $118.00 / $118.00	Professional		$118.00	$118.00	$118.00