Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.62 / $780.57 / $2,776.05	Professional		$142.62	$780.57	$2,776.05
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 $230.30 / $230.30 / $3,193.92	Professional		$230.30	$230.30	$3,193.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $230.30 / $230.30 / $230.30	Facility		$230.30	$230.30	$230.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.97 / $230.30 / $2,661.07	Professional		$194.97	$230.30	$2,661.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $230.30 / $230.30 / $230.30	Facility		$230.30	$230.30	$230.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $154.22 / $1,657.04 / $3,249.01	Professional		$154.22	$1,657.04	$3,249.01
United Facility/Professional Professional Modifier Low / Median / High Price $2,176.19 / $2,652.45 / $4,779.46	Professional		$2,176.19	$2,652.45	$4,779.46