Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $748.83 / $748.83 / $748.83	Facility		$748.83	$748.83	$748.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.69 / $64.87 / $456.00	Professional		$26.69	$64.87	$456.00
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 $45.14 / $53.11 / $158.79	Professional		$45.14	$53.11	$158.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.11 / $53.11 / $53.11	Facility		$53.11	$53.11	$53.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.14 / $59.79 / $159.47	Professional		$45.14	$59.79	$159.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.65 / $79.56 / $152.61	Facility		$30.65	$79.56	$152.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.14 / $97.31 / $193.55	Professional		$45.14	$97.31	$193.55
United Facility/Professional Professional Modifier Low / Median / High Price $110.72 / $164.71 / $179.99	Professional		$110.72	$164.71	$179.99