Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $408.62 / $408.62 / $453.25	Facility		$408.62	$408.62	$453.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.56 / $148.72 / $375.14	Professional		$65.56	$148.72	$375.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64,999.99 / $81,499.99 / $94,999.99	Facility		$64,999.99	$81,499.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.57 / $113.57 / $307.07	Professional		$113.57	$113.57	$307.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.57 / $232.12 / $447.74	Facility		$113.57	$232.12	$447.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.12 / $177.33 / $332.21	Professional		$75.12	$177.33	$332.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $84.03 / $207.01 / $312.63	Facility		$84.03	$207.01	$312.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.62 / $210.65 / $439.44	Professional		$97.62	$210.65	$439.44
United Facility/Professional Professional Modifier Low / Median / High Price $244.33 / $288.75 / $336.00	Professional		$244.33	$288.75	$336.00