Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.45 / $123.57 / $249.71	Professional		$74.45	$123.57	$249.71
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 $111.73 / $131.44 / $243.45	Professional		$111.73	$131.44	$243.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.44 / $131.44 / $131.44	Facility		$131.44	$131.44	$131.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.77 / $142.44 / $243.45	Professional		$114.77	$142.44	$243.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $73.76 / $139.13 / $237.31	Facility		$73.76	$139.13	$237.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $112.74 / $159.93 / $292.22	Professional		$112.74	$159.93	$292.22
United Facility/Professional Professional Modifier Low / Median / High Price $223.07 / $248.81 / $275.60	Professional		$223.07	$248.81	$275.60