Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.88 / $190.75 / $912.38	Professional		$104.88	$190.75	$912.38
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 $244.02 / $287.08 / $377.52	Professional		$244.02	$287.08	$377.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $287.08 / $287.08 / $287.08	Facility		$287.08	$287.08	$287.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $235.72 / $300.31 / $384.70	Professional		$235.72	$300.31	$384.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $158.03 / $232.62 / $397.24	Facility		$158.03	$232.62	$397.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $225.98 / $317.77 / $444.56	Professional		$225.98	$317.77	$444.56
United Facility/Professional Professional Modifier Low / Median / High Price $348.92 / $389.18 / $429.44	Professional		$348.92	$389.18	$429.44