Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.66 / $89.19 / $192.45	Professional		$74.66	$89.19	$192.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47,000.00 / $77,999.99 / $94,999.99	Facility		$47,000.00	$77,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.27 / $81.50 / $184.03	Professional		$69.27	$81.50	$184.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.50 / $81.50 / $81.50	Facility		$81.50	$81.50	$81.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.50 / $145.50 / $184.03	Professional		$81.50	$145.50	$184.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.96 / $104.16 / $195.28	Facility		$45.96	$104.16	$195.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.66 / $120.17 / $218.21	Professional		$69.66	$120.17	$218.21
United Facility/Professional Facility Modifier Low / Median / High Price $141.06 / $141.06 / $141.06	Facility		$141.06	$141.06	$141.06
United Facility/Professional Professional Modifier Low / Median / High Price $152.65 / $180.38 / $199.90	Professional		$152.65	$180.38	$199.90