Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $276.19 / $276.19 / $276.19	Facility		$276.19	$276.19	$276.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.08 / $396.00 / $476.58	Professional		$392.08	$396.00	$476.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $756.02 / $77,999.99 / $94,999.99	Facility		$756.02	$77,999.99	$94,999.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.23 / $450.23 / $1,166.11	Facility		$450.23	$450.23	$1,166.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.09 / $450.23 / $450.23	Professional		$392.09	$450.23	$450.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $176.94 / $450.23 / $1,166.11	Facility		$176.94	$450.23	$1,166.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $425.39 / $425.39 / $499.37	Professional		$425.39	$425.39	$499.37
United Facility/Professional Professional Modifier Low / Median / High Price $392.09 / $392.09 / $392.09	Professional		$392.09	$392.09	$392.09