Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.18 / $237.24 / $400.86	Professional		$148.18	$237.24	$400.86
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 $150.38 / $165.42 / $269.74	Professional		$150.38	$165.42	$269.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.38 / $150.38 / $150.38	Facility		$150.38	$150.38	$150.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.82 / $233.74 / $466.03	Professional		$127.82	$233.74	$466.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.43 / $150.38 / $372.30	Facility		$74.43	$150.38	$372.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $130.62 / $229.28 / $381.43	Professional		$130.62	$229.28	$381.43
United Facility/Professional Professional Modifier Low / Median / High Price $332.82 / $451.36 / $510.84	Professional		$332.82	$451.36	$510.84