Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.62 / $232.80 / $347.06	Professional		$200.62	$232.80	$347.06
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 $355.44 / $355.44 / $355.44	Professional		$355.44	$355.44	$355.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $355.44 / $355.44 / $355.44	Facility		$355.44	$355.44	$355.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.03 / $355.44 / $384.70	Professional		$193.03	$355.44	$384.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $175.30 / $241.03 / $355.44	Facility		$175.30	$241.03	$355.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $216.42 / $355.44 / $468.30	Professional		$216.42	$355.44	$468.30
United Facility/Professional Professional Modifier Low / Median / High Price $237.52 / $370.71 / $419.57	Professional		$237.52	$370.71	$419.57