Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.09 / $251.24 / $443.72	Professional		$110.09	$251.24	$443.72
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 $130.40 / $130.40 / $130.40	Professional		$130.40	$130.40	$130.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.40 / $130.40 / $130.40	Facility		$130.40	$130.40	$130.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.40 / $150.63 / $350.68	Professional		$130.40	$150.63	$350.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $130.40 / $465.40 / $502.84	Facility		$130.40	$465.40	$502.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $86.92 / $184.21 / $357.16	Professional		$86.92	$184.21	$357.16
United Facility/Professional Professional Modifier Low / Median / High Price $278.20 / $339.08 / $525.40	Professional		$278.20	$339.08	$525.40