Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.04 / $234.90 / $506.67	Facility		$77.04	$234.90	$506.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.31 / $102.40 / $461.00	Professional		$85.31	$102.40	$461.00
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 $169.31 / $169.31 / $201.38	Professional		$169.31	$169.31	$201.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.31 / $169.31 / $169.31	Facility		$169.31	$169.31	$169.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.61 / $169.31 / $201.38	Professional		$110.61	$169.31	$201.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.21 / $125.65 / $213.10	Facility		$95.21	$125.65	$213.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $110.61 / $169.11 / $236.43	Professional		$110.61	$169.11	$236.43
United Facility/Professional Facility Modifier Low / Median / High Price $156.30 / $156.30 / $156.30	Facility		$156.30	$156.30	$156.30
United Facility/Professional Professional Modifier Low / Median / High Price $168.56 / $199.52 / $218.16	Professional		$168.56	$199.52	$218.16