Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.65 / $84.55 / $501.00	Professional		$46.65	$84.55	$501.00
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 $64.80 / $76.23 / $193.49	Professional		$64.80	$76.23	$193.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.23 / $76.23 / $76.23	Facility		$76.23	$76.23	$76.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.80 / $87.93 / $199.63	Professional		$64.80	$87.93	$199.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.33 / $111.13 / $186.74	Facility		$43.33	$111.13	$186.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.80 / $117.90 / $232.76	Professional		$64.80	$117.90	$232.76
United Facility/Professional Professional Modifier Low / Median / High Price $156.16 / $202.99 / $221.82	Professional		$156.16	$202.99	$221.82