Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.66 / $244.13 / $1,114.00	Professional		$155.66	$244.13	$1,114.00
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 $246.71 / $290.24 / $419.06	Professional		$246.71	$290.24	$419.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $290.24 / $290.24 / $290.24	Facility		$290.24	$290.24	$290.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $246.70 / $309.04 / $451.05	Professional		$246.70	$309.04	$451.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $163.37 / $256.88 / $434.20	Facility		$163.37	$256.88	$434.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $246.70 / $342.18 / $499.04	Professional		$246.70	$342.18	$499.04
United Facility/Professional Professional Modifier Low / Median / High Price $387.44 / $450.09 / $491.84	Professional		$387.44	$450.09	$491.84