Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.50 / $418.87 / $699.24	Professional		$163.50	$418.87	$699.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64,999.99 / $81,499.99 / $94,999.99	Facility		$64,999.99	$81,499.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $209.27 / $209.27 / $566.60	Professional		$209.27	$209.27	$566.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.27 / $209.27 / $209.27	Facility		$209.27	$209.27	$209.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.43 / $209.27 / $480.89	Professional		$197.43	$209.27	$480.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $209.27 / $710.45 / $770.39	Facility		$209.27	$710.45	$770.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $139.50 / $292.95 / $564.66	Professional		$139.50	$292.95	$564.66
United Facility/Professional Professional Modifier Low / Median / High Price $436.16 / $557.42 / $830.66	Professional		$436.16	$557.42	$830.66