Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.17 / $107.47 / $254.96	Professional		$61.17	$107.47	$254.96
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 $98.32 / $115.68 / $245.55	Professional		$98.32	$115.68	$245.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.68 / $115.68 / $115.68	Facility		$115.68	$115.68	$115.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.33 / $129.79 / $263.06	Professional		$98.33	$129.79	$263.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.09 / $140.41 / $239.46	Facility		$65.09	$140.41	$239.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $98.33 / $150.43 / $296.16	Professional		$98.33	$150.43	$296.16
United Facility/Professional Professional Modifier Low / Median / High Price $202.88 / $261.57 / $285.83	Professional		$202.88	$261.57	$285.83