Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.69 / $199.80 / $389.05	Professional		$131.69	$199.80	$389.05
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 $208.27 / $245.02 / $375.42	Professional		$208.27	$245.02	$375.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.02 / $245.02 / $245.02	Facility		$245.02	$245.02	$245.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.27 / $260.14 / $390.52	Professional		$208.27	$260.14	$390.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.24 / $229.78 / $389.35	Facility		$138.24	$229.78	$389.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $207.61 / $286.52 / $447.71	Professional		$207.61	$286.52	$447.71
United Facility/Professional Professional Modifier Low / Median / High Price $347.42 / $393.24 / $429.72	Professional		$347.42	$393.24	$429.72