Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.51 / $173.65 / $210.27	Professional		$116.51	$173.65	$210.27
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 $174.75 / $205.59 / $328.10	Professional		$174.75	$205.59	$328.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.59 / $205.59 / $205.59	Facility		$205.59	$205.59	$205.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.75 / $229.31 / $336.98	Professional		$174.75	$229.31	$336.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $115.49 / $201.37 / $341.25	Facility		$115.49	$201.37	$341.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $173.70 / $247.04 / $389.86	Professional		$173.70	$247.04	$389.86
United Facility/Professional Professional Modifier Low / Median / High Price $304.50 / $341.24 / $370.13	Professional		$304.50	$341.24	$370.13