Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.93 / $122.27 / $122.27	Facility		$78.93	$122.27	$122.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $87.69 / $100.25	Professional		$78.93	$87.69	$100.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $121.17 / $444.31 / $723.99	Facility		$121.17	$444.31	$723.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.93 / $81.93 / $92.49	Professional		$81.93	$81.93	$92.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.93 / $78.93 / $78.93	Facility		$78.93	$78.93	$78.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $78.93 / $78.93	Professional		$78.93	$78.93	$78.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $78.93 / $78.93 / $79.08	Facility		$78.93	$78.93	$79.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $78.93 / $78.93	Professional		$78.93	$78.93	$78.93
United Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $78.93 / $78.93	Professional		$78.93	$78.93	$78.93