Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.06 / $202.21 / $760.84	Professional		$147.06	$202.21	$760.84
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 $137.65 / $161.94 / $224.52	Professional		$137.65	$161.94	$224.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.94 / $161.94 / $161.94	Facility		$161.94	$161.94	$161.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.94 / $224.52 / $367.82	Professional		$161.94	$224.52	$367.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.23 / $137.22 / $395.85	Facility		$91.23	$137.22	$395.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $131.72 / $193.86 / $299.55	Professional		$131.72	$193.86	$299.55
United Facility/Professional Professional Modifier Low / Median / High Price $224.10 / $253.15 / $371.49	Professional		$224.10	$253.15	$371.49