Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.84 / $250.81 / $422.97	Professional		$92.84	$250.81	$422.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47,000.00 / $81,499.99 / $94,999.99	Facility		$47,000.00	$81,499.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.53 / $153.53 / $406.44	Professional		$153.53	$153.53	$406.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.53 / $153.53 / $153.53	Facility		$153.53	$153.53	$153.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.53 / $171.69 / $451.05	Professional		$153.53	$171.69	$451.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.70 / $153.53 / $246.98	Facility		$75.70	$153.53	$246.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.35 / $247.43 / $451.05	Professional		$102.35	$247.43	$451.05
United Facility/Professional Professional Modifier Low / Median / High Price $397.29 / $464.39 / $725.21	Professional		$397.29	$464.39	$725.21