Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $199.81 / $239.16	Professional		$197.83	$199.81	$239.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $361.30 / $68,999.99 / $94,999.99	Facility		$361.30	$68,999.99	$94,999.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.02 / $238.02 / $238.02	Facility		$238.02	$238.02	$238.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $197.83 / $238.02	Professional		$197.83	$197.83	$238.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $197.83 / $229.53 / $242.33	Facility		$197.83	$229.53	$242.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $201.98 / $238.02 / $251.95	Professional		$201.98	$238.02	$251.95
United Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $197.83 / $197.83	Professional		$197.83	$197.83	$197.83