Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.16 / $97.74 / $203.51	Facility		$65.16	$97.74	$203.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.24 / $88.21 / $405.00	Professional		$46.24	$88.21	$405.00
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 $71.51 / $84.13 / $181.93	Professional		$71.51	$84.13	$181.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.13 / $84.13 / $84.13	Facility		$84.13	$84.13	$84.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.51 / $93.21 / $181.93	Professional		$71.51	$93.21	$181.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.09 / $95.28 / $176.91	Facility		$44.09	$95.28	$176.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $71.51 / $110.96 / $216.95	Professional		$71.51	$110.96	$216.95
United Facility/Professional Professional Modifier Low / Median / High Price $148.40 / $182.12 / $200.17	Professional		$148.40	$182.12	$200.17