Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.89 / $97.61 / $645.00	Professional		$55.89	$97.61	$645.00
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 $82.68 / $97.27 / $218.73	Professional		$82.68	$97.27	$218.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.27 / $97.27 / $97.27	Facility		$97.27	$97.27	$97.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.68 / $112.03 / $235.71	Professional		$82.68	$112.03	$235.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.44 / $127.12 / $211.02	Facility		$55.44	$127.12	$211.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $82.68 / $136.19 / $266.27	Professional		$82.68	$136.19	$266.27
United Facility/Professional Professional Modifier Low / Median / High Price $184.96 / $237.23 / $261.77	Professional		$184.96	$237.23	$261.77