Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.35 / $175.83 / $1,059.74	Professional		$107.35	$175.83	$1,059.74
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 $165.81 / $195.07 / $314.43	Professional		$165.81	$195.07	$314.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $195.07 / $195.07 / $195.07	Facility		$195.07	$195.07	$195.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.81 / $201.37 / $319.52	Professional		$165.81	$201.37	$319.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.83 / $191.66 / $307.45	Facility		$109.83	$191.66	$307.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $164.99 / $234.24 / $375.39	Professional		$164.99	$234.24	$375.39
United Facility/Professional Professional Modifier Low / Median / High Price $276.37 / $327.13 / $357.47	Professional		$276.37	$327.13	$357.47