Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.61 / $196.40 / $901.00	Professional		$175.61	$196.40	$901.00
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $161.75 / $237.53 / $877.16	Professional	54	$161.75	$237.53	$877.16
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 $335.46 / $335.46 / $355.97	Professional		$335.46	$335.46	$355.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $335.46 / $335.46 / $335.46	Facility		$335.46	$335.46	$335.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.38 / $301.91 / $365.50	Professional		$162.38	$301.91	$365.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $166.23 / $220.08 / $335.46	Facility		$166.23	$220.08	$335.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $210.60 / $329.99 / $455.81	Professional		$210.60	$329.99	$455.81
Providence Facility/Professional Professional Modifier 54 Low / Median / High Price $329.41 / $332.64 / $467.94	Professional	54	$329.41	$332.64	$467.94
United Facility/Professional Professional Modifier Low / Median / High Price $305.66 / $350.56 / $396.76	Professional		$305.66	$350.56	$396.76