Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $373.07 / $373.07 / $373.07	Facility		$373.07	$373.07	$373.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.65 / $160.84 / $311.85	Professional		$122.65	$160.84	$311.85
Aetna Facility/Professional Professional Modifier 22 Low / Median / High Price $799.01 / $799.01 / $799.01	Professional	22	$799.01	$799.01	$799.01
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 $131.84 / $155.11 / $265.00	Professional		$131.84	$155.11	$265.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $155.11 / $155.11 / $155.11	Facility		$155.11	$155.11	$155.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.24 / $167.07 / $265.00	Professional		$148.24	$167.07	$265.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.23 / $155.11 / $292.50	Facility		$87.23	$155.11	$292.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $130.16 / $188.80 / $318.80	Professional		$130.16	$188.80	$318.80
United Facility/Professional Professional Modifier Low / Median / High Price $232.96 / $264.32 / $292.50	Professional		$232.96	$264.32	$292.50