Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.67 / $98.81 / $186.99	Professional		$63.67	$98.81	$186.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64,999.99 / $77,999.99 / $94,999.99	Facility		$64,999.99	$77,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.00 / $112.00 / $183.50	Professional		$112.00	$112.00	$183.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.00 / $112.00 / $112.00	Facility		$112.00	$112.00	$112.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.20 / $124.55 / $200.79	Professional		$95.20	$124.55	$200.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.52 / $110.53 / $180.70	Facility		$63.52	$110.53	$180.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.20 / $135.68 / $220.74	Professional		$95.20	$135.68	$220.74
United Facility/Professional Professional Modifier Low / Median / High Price $168.07 / $198.94 / $217.40	Professional		$168.07	$198.94	$217.40