Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.11 / $351.07 / $351.07	Facility		$225.11	$351.07	$351.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.11 / $227.36 / $592.85	Professional		$225.11	$227.36	$592.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $334.02 / $1,224.78 / $1,995.77	Facility		$334.02	$1,224.78	$1,995.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $222.32 / $222.32 / $300.13	Professional		$222.32	$222.32	$300.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.11 / $225.11 / $225.11	Facility		$225.11	$225.11	$225.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.11 / $225.11 / $225.11	Professional		$225.11	$225.11	$225.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $220.75 / $225.11 / $225.11	Facility		$220.75	$225.11	$225.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $225.11 / $225.11 / $225.11	Professional		$225.11	$225.11	$225.11
United Facility/Professional Professional Modifier Low / Median / High Price $225.11 / $225.11 / $225.11	Professional		$225.11	$225.11	$225.11