Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.80 / $346.02 / $428.64	Facility		$98.80	$346.02	$428.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.00 / $124.59 / $210.48	Professional		$88.00	$124.59	$210.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56,799.99 / $68,899.99 / $81,099.99	Facility		$56,799.99	$68,899.99	$81,099.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.28 / $116.28 / $160.35	Professional		$116.28	$116.28	$160.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.36 / $123.36 / $123.36	Facility		$123.36	$123.36	$123.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $123.36 / $123.36	Professional		$123.36	$123.36	$123.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.30 / $70.03 / $123.36	Facility		$61.30	$70.03	$123.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $123.36 / $123.36	Professional		$123.36	$123.36	$123.36
United Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $123.36 / $123.36	Professional		$123.36	$123.36	$123.36