Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.90 / $1,355.34 / $1,355.34	Facility		$0.90	$1,355.34	$1,355.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.38 / $133.90 / $255.28	Professional		$53.38	$133.90	$255.28
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 $75.08 / $88.33 / $245.55	Professional		$75.08	$88.33	$245.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.33 / $88.33 / $88.33	Facility		$88.33	$88.33	$88.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.08 / $88.33 / $245.55	Professional		$75.08	$88.33	$245.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $49.92 / $88.33 / $237.41	Facility		$49.92	$88.33	$237.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.08 / $151.72 / $296.64	Professional		$75.08	$151.72	$296.64
United Facility/Professional Professional Modifier Low / Median / High Price $224.64 / $254.88 / $276.89	Professional		$224.64	$254.88	$276.89