Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.13 / $209.20 / $249.42	Professional		$207.13	$209.20	$249.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $334.96 / $68,999.99 / $94,999.99	Facility		$334.96	$68,999.99	$94,999.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.46 / $251.46 / $251.46	Facility		$251.46	$251.46	$251.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.13 / $207.13 / $251.46	Professional		$207.13	$207.13	$251.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $207.13 / $246.03 / $256.13	Facility		$207.13	$246.03	$256.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $216.50 / $249.70 / $263.79	Professional		$216.50	$249.70	$263.79
United Facility/Professional Professional Modifier Low / Median / High Price $207.13 / $207.13 / $207.13	Professional		$207.13	$207.13	$207.13