Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $218.62 / $353.21	Professional		$71.20	$218.62	$353.21
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 $108.31 / $108.31 / $108.31	Professional		$108.31	$108.31	$108.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.31 / $108.31 / $108.31	Facility		$108.31	$108.31	$108.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.50 / $184.99 / $404.48	Professional		$91.50	$184.99	$404.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.08 / $108.31 / $237.97	Facility		$67.08	$108.31	$237.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $99.49 / $204.28 / $378.78	Professional		$99.49	$204.28	$378.78
Providence Facility/Professional Professional Modifier 80 Low / Median / High Price $50.29 / $72.80 / $80.06	Professional	80	$50.29	$72.80	$80.06
Providence Facility/Professional Professional Modifier AS Low / Median / High Price $42.75 / $61.88 / $68.06	Professional	AS	$42.75	$61.88	$68.06
United Facility/Professional Professional Modifier Low / Median / High Price $264.06 / $328.07 / $396.15	Professional		$264.06	$328.07	$396.15