Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.78 / $352.80 / $849.20	Professional		$165.78	$352.80	$849.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64,999.99 / $77,999.99 / $94,999.99	Facility		$64,999.99	$77,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $272.89 / $272.89 / $625.17	Professional		$272.89	$272.89	$625.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $272.89 / $272.89 / $272.89	Facility		$272.89	$272.89	$272.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $231.96 / $316.55 / $625.17	Professional		$231.96	$316.55	$625.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $154.06 / $349.98 / $627.25	Facility		$154.06	$349.98	$627.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $231.96 / $380.67 / $743.24	Professional		$231.96	$380.67	$743.24
United Facility/Professional Professional Modifier Low / Median / High Price $559.69 / $627.24 / $685.80	Professional		$559.69	$627.24	$685.80