Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.21 / $202.65 / $660.55	Professional		$124.21	$202.65	$660.55
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 $194.55 / $194.55 / $343.35	Professional		$194.55	$194.55	$343.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.55 / $194.55 / $194.55	Facility		$194.55	$194.55	$194.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.94 / $218.83 / $349.78	Professional		$193.94	$218.83	$349.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $119.89 / $331.50 / $375.71	Facility		$119.89	$331.50	$375.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $126.53 / $227.83 / $350.48	Professional		$126.53	$227.83	$350.48
United Facility/Professional Professional Modifier Low / Median / High Price $282.47 / $354.59 / $605.87	Professional		$282.47	$354.59	$605.87