Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $320.04 / $320.04 / $320.04	Facility		$320.04	$320.04	$320.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.90 / $156.18 / $638.39	Professional		$96.90	$156.18	$638.39
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 $164.47 / $193.49 / $312.85	Professional		$164.47	$193.49	$312.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.49 / $193.49 / $193.49	Facility		$193.49	$193.49	$193.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.47 / $199.04 / $316.02	Professional		$164.47	$199.04	$316.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.20 / $190.74 / $305.63	Facility		$109.20	$190.74	$305.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $163.88 / $232.96 / $373.81	Professional		$163.88	$232.96	$373.81
United Facility/Professional Professional Modifier Low / Median / High Price $274.89 / $325.38 / $355.56	Professional		$274.89	$325.38	$355.56