Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.00 / $193.90 / $343.76	Professional		$133.00	$193.90	$343.76
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 $183.24 / $215.58 / $331.78	Professional		$183.24	$215.58	$331.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $215.58 / $215.58 / $215.58	Facility		$215.58	$215.58	$215.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.24 / $240.37 / $341.05	Professional		$183.24	$240.37	$341.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $121.26 / $203.31 / $347.75	Facility		$121.26	$203.31	$347.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $182.40 / $251.86 / $394.26	Professional		$182.40	$251.86	$394.26
United Facility/Professional Professional Modifier Low / Median / High Price $310.30 / $347.75 / $375.21	Professional		$310.30	$347.75	$375.21