Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.25 / $637.21 / $1,550.46	Professional		$87.25	$637.21	$1,550.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $748.80 / $77,999.99 / $94,999.99	Facility		$748.80	$77,999.99	$94,999.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.21 / $103.21 / $985.11	Facility		$103.21	$103.21	$985.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.38 / $86.38 / $103.21	Professional		$86.38	$86.38	$103.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $103.21 / $103.21 / $985.11	Facility		$103.21	$103.21	$985.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $86.38 / $93.71 / $164.57	Professional		$86.38	$93.71	$164.57
United Facility/Professional Professional Modifier Low / Median / High Price $86.38 / $86.38 / $86.38	Professional		$86.38	$86.38	$86.38