Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $544.75 / $635.40 / $1,348.00	Facility		$544.75	$635.40	$1,348.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.27 / $236.91 / $554.89	Professional		$184.27	$236.91	$554.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $353.50 / $77,999.99 / $94,999.99	Facility		$353.50	$77,999.99	$94,999.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.76 / $217.76 / $588.44	Facility		$217.76	$217.76	$588.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $182.45 / $217.76	Professional		$182.45	$182.45	$217.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $217.76 / $217.76 / $588.44	Facility		$217.76	$217.76	$588.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $197.94 / $258.18	Professional		$182.45	$197.94	$258.18
United Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $182.45 / $182.45	Professional		$182.45	$182.45	$182.45