Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.50 / $142.50 / $142.50	Facility		$142.50	$142.50	$142.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.50 / $124.50 / $142.50	Professional		$124.50	$124.50	$142.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $463.49 / $1,673.21 / $2,769.32	Facility		$463.49	$1,673.21	$2,769.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Facility		$127.50	$127.50	$127.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Professional		$127.50	$127.50	$127.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $127.50 / $127.50	Facility		$125.00	$127.50	$127.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Professional		$127.50	$127.50	$127.50
United Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $125.00 / $125.00	Professional		$125.00	$125.00	$125.00