Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.70 / $81.70 / $81.70	Facility		$81.70	$81.70	$81.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.18 / $97.62 / $471.00	Professional		$54.18	$97.62	$471.00
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 $97.80 / $97.80 / $216.10	Professional		$97.80	$97.80	$216.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.80 / $97.80 / $97.80	Facility		$97.80	$97.80	$97.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.13 / $109.42 / $216.10	Professional		$83.13	$109.42	$216.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.98 / $124.08 / $210.50	Facility		$54.98	$124.08	$210.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.13 / $132.96 / $259.95	Professional		$83.13	$132.96	$259.95
United Facility/Professional Professional Modifier Low / Median / High Price $166.94 / $226.20 / $247.18	Professional		$166.94	$226.20	$247.18