Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.38 / $107.01 / $194.68	Professional		$41.38	$107.01	$194.68
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 $54.68 / $54.68 / $186.66	Professional		$54.68	$54.68	$186.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.68 / $54.68 / $54.68	Facility		$54.68	$54.68	$54.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.68 / $122.33 / $195.08	Professional		$54.68	$122.33	$195.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.38 / $138.91 / $218.91	Facility		$41.38	$138.91	$218.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.88 / $122.33 / $267.52	Professional		$49.88	$122.33	$267.52
United Facility/Professional Professional Modifier Low / Median / High Price $161.68 / $196.08 / $248.30	Professional		$161.68	$196.08	$248.30