Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.86 / $373.50 / $767.14	Facility		$94.86	$373.50	$767.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.79 / $105.04 / $407.00	Professional		$59.79	$105.04	$407.00
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 $92.54 / $92.54 / $180.88	Professional		$92.54	$92.54	$180.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.54 / $92.54 / $92.54	Facility		$92.54	$92.54	$92.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.54 / $124.00 / $180.88	Professional		$92.54	$124.00	$180.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.93 / $101.27 / $244.28	Facility		$51.93	$101.27	$244.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.33 / $118.12 / $215.05	Professional		$79.33	$118.12	$215.05
United Facility/Professional Professional Modifier Low / Median / High Price $162.71 / $186.43 / $249.48	Professional		$162.71	$186.43	$249.48