Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $992.74 / $992.74 / $992.74	Facility		$992.74	$992.74	$992.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $142.90 / $264.31	Professional		$138.74	$142.90	$264.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64,999.99 / $79,999.99 / $94,999.99	Facility		$64,999.99	$79,999.99	$94,999.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $155.66 / $155.66 / $404.30	Facility		$155.66	$155.66	$404.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $155.66 / $155.66	Professional		$138.74	$155.66	$155.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.74 / $155.66 / $280.48	Facility		$138.74	$155.66	$280.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $147.94 / $150.52 / $176.03	Professional		$147.94	$150.52	$176.03
United Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $138.74 / $138.74	Professional		$138.74	$138.74	$138.74