Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $174.75 / $218.01	Professional		$173.03	$174.75	$218.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $240.10 / $68,999.99 / $94,999.99	Facility		$240.10	$68,999.99	$94,999.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $202.27 / $202.27 / $362.88	Facility		$202.27	$202.27	$362.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $173.03 / $202.27	Professional		$173.03	$173.03	$202.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.32 / $178.22 / $228.40	Facility		$87.32	$178.22	$228.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $199.16 / $220.37	Professional		$173.03	$199.16	$220.37
United Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $173.03 / $173.03	Professional		$173.03	$173.03	$173.03