Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.88 / $110.88 / $630.00	Facility		$110.88	$110.88	$630.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.87 / $133.72 / $252.37	Professional		$94.87	$133.72	$252.37
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 $149.27 / $175.62 / $249.23	Professional		$149.27	$175.62	$249.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.62 / $175.62 / $175.62	Facility		$175.62	$175.62	$175.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.28 / $186.82 / $249.23	Professional		$149.28	$186.82	$249.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $98.11 / $151.82 / $248.30	Facility		$98.11	$151.82	$248.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $148.34 / $202.35 / $296.01	Professional		$148.34	$202.35	$296.01
United Facility/Professional Professional Modifier Low / Median / High Price $221.55 / $250.22 / $280.95	Professional		$221.55	$250.22	$280.95