Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.16 / $205.85 / $205.85	Facility		$131.16	$205.85	$205.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.15 / $132.46 / $180.12	Professional		$131.15	$132.46	$180.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $219.98 / $809.51 / $2,115.73	Facility		$219.98	$809.51	$2,115.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.31 / $125.31 / $155.71	Professional		$125.31	$125.31	$155.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.16 / $131.16 / $131.16	Facility		$131.16	$131.16	$131.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $131.16 / $131.16	Professional		$131.16	$131.16	$131.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $96.55 / $131.16 / $131.16	Facility		$96.55	$131.16	$131.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $131.16 / $131.16	Professional		$131.16	$131.16	$131.16
United Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $131.16 / $131.16	Professional		$131.16	$131.16	$131.16