Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.70 / $129.71 / $262.17	Professional		$71.70	$129.71	$262.17
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 $147.04 / $172.99 / $253.44	Professional		$147.04	$172.99	$253.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.99 / $172.99 / $172.99	Facility		$172.99	$172.99	$172.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.04 / $182.75 / $258.41	Professional		$147.04	$182.75	$258.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.87 / $154.50 / $252.85	Facility		$97.87	$154.50	$252.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $146.66 / $202.40 / $302.45	Professional		$146.66	$202.40	$302.45
United Facility/Professional Professional Modifier Low / Median / High Price $234.79 / $254.24 / $287.75	Professional		$234.79	$254.24	$287.75