Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.43 / $113.34 / $199.86	Professional		$66.43	$113.34	$199.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47,000.00 / $77,999.99 / $94,999.99	Facility		$47,000.00	$77,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.07 / $108.31 / $193.49	Professional		$92.07	$108.31	$193.49
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 $92.06 / $123.69 / $214.18	Professional		$92.06	$123.69	$214.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.79 / $127.02 / $217.75	Facility		$69.79	$127.02	$217.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $92.06 / $131.19 / $231.40	Professional		$92.06	$131.19	$231.40
United Facility/Professional Professional Modifier Low / Median / High Price $191.70 / $209.45 / $225.00	Professional		$191.70	$209.45	$225.00