Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.13 / $161.68 / $161.68	Facility		$99.13	$161.68	$161.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.12 / $100.12 / $740.27	Professional		$99.12	$100.12	$740.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $246.06 / $1,222.09 / $2,638.92	Facility		$246.06	$1,222.09	$2,638.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.29 / $132.52 / $178.90	Professional		$122.29	$132.52	$178.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.13 / $99.13 / $99.13	Facility		$99.13	$99.13	$99.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $99.13 / $99.13	Professional		$99.13	$99.13	$99.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $99.13 / $99.13 / $135.53	Facility		$99.13	$99.13	$135.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $99.13 / $99.13	Professional		$99.13	$99.13	$99.13
United Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $99.13 / $99.13	Professional		$99.13	$99.13	$99.13