Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.50 / $111.87 / $326.69	Professional		$67.50	$111.87	$326.69
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 $80.45 / $94.64 / $192.97	Professional		$80.45	$94.64	$192.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.64 / $94.64 / $94.64	Facility		$94.64	$94.64	$94.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.71 / $129.55 / $219.41	Professional		$93.71	$129.55	$219.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $49.62 / $106.72 / $217.75	Facility		$49.62	$106.72	$217.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.12 / $128.63 / $232.13	Professional		$81.12	$128.63	$232.13
United Facility/Professional Professional Modifier Low / Median / High Price $190.85 / $204.34 / $219.93	Professional		$190.85	$204.34	$219.93