Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.35 / $174.56 / $390.37	Professional		$111.35	$174.56	$390.37
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 $162.24 / $190.87 / $299.18	Professional		$162.24	$190.87	$299.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.87 / $190.87 / $190.87	Facility		$190.87	$190.87	$190.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.24 / $212.43 / $304.97	Professional		$162.24	$212.43	$304.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.24 / $182.95 / $311.35	Facility		$107.24	$182.95	$311.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $161.32 / $227.12 / $355.90	Professional		$161.32	$227.12	$355.90
United Facility/Professional Professional Modifier Low / Median / High Price $276.64 / $311.35 / $337.19	Professional		$276.64	$311.35	$337.19