Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.50 / $226.15 / $290.91	Professional		$157.50	$226.15	$290.91
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 $297.60 / $297.60 / $474.80	Professional		$297.60	$297.60	$474.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.60 / $297.60 / $297.60	Facility		$297.60	$297.60	$297.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.96 / $314.86 / $474.80	Professional		$252.96	$314.86	$474.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $166.73 / $290.17 / $464.27	Facility		$166.73	$290.17	$464.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $252.96 / $359.68 / $567.99	Professional		$252.96	$359.68	$567.99
United Facility/Professional Professional Modifier Low / Median / High Price $412.08 / $487.77 / $533.02	Professional		$412.08	$487.77	$533.02