Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $432.02 / $680.52 / $680.52	Facility		$432.02	$680.52	$680.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $432.02 / $548.66 / $940.95	Professional		$432.02	$548.66	$940.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.46 / $728.98 / $81,099.99	Facility		$602.46	$728.98	$81,099.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.00 / $159.00 / $514.75	Professional		$159.00	$159.00	$514.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $432.02 / $432.02 / $432.02	Facility		$432.02	$432.02	$432.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $432.02 / $432.02 / $432.02	Professional		$432.02	$432.02	$432.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.63 / $56.18 / $432.02	Facility		$26.63	$56.18	$432.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $432.02 / $432.02 / $432.02	Professional		$432.02	$432.02	$432.02
United Facility/Professional Professional Modifier Low / Median / High Price $432.02 / $432.02 / $432.02	Professional		$432.02	$432.02	$432.02