Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.67 / $194.52 / $583.78	Professional		$123.67	$194.52	$583.78
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 $198.88 / $233.98 / $362.28	Professional		$198.88	$233.98	$362.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $233.98 / $233.98 / $233.98	Facility		$233.98	$233.98	$233.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.88 / $247.93 / $375.39	Professional		$198.88	$247.93	$375.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $132.29 / $221.40 / $369.20	Facility		$132.29	$221.40	$369.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $198.88 / $275.00 / $431.36	Professional		$198.88	$275.00	$431.36
United Facility/Professional Professional Modifier Low / Median / High Price $329.44 / $378.15 / $413.23	Professional		$329.44	$378.15	$413.23