Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.55 / $169.59 / $307.76	Professional		$146.55	$169.59	$307.76
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 $245.02 / $245.02 / $344.50	Professional		$245.02	$245.02	$344.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.02 / $245.02 / $245.02	Facility		$245.02	$245.02	$245.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.36 / $269.47 / $310.79	Professional		$222.36	$269.47	$310.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.09 / $326.30 / $346.61	Facility		$141.09	$326.30	$346.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $161.93 / $248.40 / $343.27	Professional		$161.93	$248.40	$343.27
United Facility/Professional Professional Modifier Low / Median / High Price $256.02 / $316.80 / $503.21	Professional		$256.02	$316.80	$503.21