Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.12 / $749.38 / $749.38	Professional		$170.12	$749.38	$749.38
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
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.93 / $446.93 / $446.93	Facility		$446.93	$446.93	$446.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $446.93 / $446.93 / $446.93	Facility		$446.93	$446.93	$446.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.48 / $136.31 / $388.40	Professional		$67.48	$136.31	$388.40
United Facility/Professional Professional Modifier Low / Median / High Price $61.10 / $72.81 / $82.40	Professional		$61.10	$72.81	$82.40