Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.87 / $159.05 / $778.14	Professional		$99.87	$159.05	$778.14
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 $126.48 / $148.80 / $280.77	Professional		$126.48	$148.80	$280.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.80 / $148.80 / $148.80	Facility		$148.80	$148.80	$148.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.80 / $181.85 / $280.77	Professional		$148.80	$181.85	$280.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.75 / $158.51 / $370.51	Facility		$83.75	$158.51	$370.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $128.72 / $181.95 / $333.96	Professional		$128.72	$181.95	$333.96
United Facility/Professional Professional Modifier Low / Median / High Price $251.36 / $287.92 / $365.39	Professional		$251.36	$287.92	$365.39