Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.20 / $336.58 / $692.06	Facility		$70.20	$336.58	$692.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.25 / $107.81 / $407.00	Professional		$54.25	$107.81	$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 $87.28 / $87.28 / $177.72	Professional		$87.28	$87.28	$177.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.28 / $87.28 / $87.28	Facility		$87.28	$87.28	$87.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.28 / $114.64 / $180.42	Professional		$87.28	$114.64	$180.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.63 / $100.70 / $246.51	Facility		$48.63	$100.70	$246.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.58 / $114.54 / $212.53	Professional		$74.58	$114.54	$212.53
United Facility/Professional Professional Modifier Low / Median / High Price $163.80 / $185.85 / $261.76	Professional		$163.80	$185.85	$261.76