Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $538.20 / $538.20 / $538.20	Facility		$538.20	$538.20	$538.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.25 / $219.25 / $1,118.00	Professional		$219.25	$219.25	$1,118.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47,000.00 / $81,499.99 / $94,999.99	Facility		$47,000.00	$81,499.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $392.87 / $392.87 / $392.87	Professional		$392.87	$392.87	$392.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $233.36 / $422.42 / $422.42	Facility		$233.36	$422.42	$422.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.36 / $422.42 / $422.42	Professional		$233.36	$422.42	$422.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $233.36 / $402.30 / $422.42	Facility		$233.36	$402.30	$422.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $233.36 / $317.02 / $422.71	Professional		$233.36	$317.02	$422.71
United Facility/Professional Professional Modifier Low / Median / High Price $164.61 / $182.12 / $288.85	Professional		$164.61	$182.12	$288.85