Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.11 / $240.43 / $415.25	Professional		$154.11	$240.43	$415.25
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 $257.12 / $257.12 / $402.76	Professional		$257.12	$257.12	$402.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.12 / $257.12 / $257.12	Facility		$257.12	$257.12	$257.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.51 / $257.12 / $415.55	Professional		$151.51	$257.12	$415.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $127.13 / $212.02 / $337.27	Facility		$127.13	$212.02	$337.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $195.25 / $305.70 / $496.38	Professional		$195.25	$305.70	$496.38
United Facility/Professional Professional Modifier Low / Median / High Price $339.34 / $405.75 / $462.08	Professional		$339.34	$405.75	$462.08