Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.15 / $122.56 / $435.92	Professional		$79.15	$122.56	$435.92
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 $132.50 / $132.50 / $203.48	Professional		$132.50	$132.50	$203.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.50 / $132.50 / $132.50	Facility		$132.50	$132.50	$132.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.64 / $132.50 / $203.48	Professional		$111.64	$132.50	$203.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $132.50 / $132.50 / $132.50	Facility		$132.50	$132.50	$132.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.38 / $139.85 / $247.75	Professional		$89.38	$139.85	$247.75
United Facility/Professional Professional Modifier Low / Median / High Price $193.80 / $228.60 / $364.46	Professional		$193.80	$228.60	$364.46