Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.37 / $228.50 / $438.95	Professional		$142.37	$228.50	$438.95
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 $243.58 / $286.56 / $424.85	Professional		$243.58	$286.56	$424.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $286.56 / $286.56 / $286.56	Facility		$286.56	$286.56	$286.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.58 / $306.70 / $445.23	Professional		$243.58	$306.70	$445.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $161.47 / $260.14 / $448.50	Facility		$161.47	$260.14	$448.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $243.36 / $335.86 / $504.93	Professional		$243.36	$335.86	$504.93
United Facility/Professional Professional Modifier Low / Median / High Price $400.20 / $448.49 / $487.39	Professional		$400.20	$448.49	$487.39