Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.71 / $263.89 / $404.00	Professional		$196.71	$263.89	$404.00
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 $267.26 / $314.43 / $537.89	Professional		$267.26	$314.43	$537.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $314.43 / $314.43 / $314.43	Facility		$314.43	$314.43	$314.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.27 / $343.96 / $549.41	Professional		$267.27	$343.96	$549.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $177.73 / $314.43 / $524.86	Facility		$177.73	$314.43	$524.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $267.27 / $380.80 / $645.15	Professional		$267.27	$380.80	$645.15
United Facility/Professional Professional Modifier Low / Median / High Price $491.05 / $563.76 / $624.76	Professional		$491.05	$563.76	$624.76