Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.97 / $116.71 / $116.71	Facility		$75.97	$116.71	$116.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $76.73 / $104.32	Professional		$75.97	$76.73	$104.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $146.88 / $538.58 / $877.61	Facility		$146.88	$538.58	$877.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.68 / $1.68 / $88.28	Professional		$1.68	$1.68	$88.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.97 / $75.97 / $75.97	Facility		$75.97	$75.97	$75.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $75.97 / $75.97	Professional		$75.97	$75.97	$75.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.97 / $75.97 / $138.72	Facility		$75.97	$75.97	$138.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $75.97 / $75.97	Professional		$75.97	$75.97	$75.97
United Facility/Professional Facility Modifier Low / Median / High Price $75.97 / $75.97 / $75.97	Facility		$75.97	$75.97	$75.97
United Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $75.97 / $75.97	Professional		$75.97	$75.97	$75.97