Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $949.18 / $949.18 / $949.18	Facility		$949.18	$949.18	$949.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $118.23 / $990.70	Professional		$108.47	$118.23	$990.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $873.66 / $68,999.99 / $94,999.99	Facility		$873.66	$68,999.99	$94,999.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.70 / $171.70 / $938.81	Facility		$171.70	$171.70	$938.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $108.47 / $171.70	Professional		$108.47	$108.47	$171.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $108.47 / $170.06 / $540.10	Facility		$108.47	$170.06	$540.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.68 / $161.03 / $181.06	Professional		$117.68	$161.03	$181.06
United Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $108.47 / $108.47	Professional		$108.47	$108.47	$108.47