Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.29 / $165.68 / $312.55	Professional		$101.29	$165.68	$312.55
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 $170.36 / $170.36 / $297.08	Professional		$170.36	$170.36	$297.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.36 / $170.36 / $170.36	Facility		$170.36	$170.36	$170.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.06 / $184.14 / $388.98	Professional		$111.06	$184.14	$388.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $105.32 / $180.69 / $311.19	Facility		$105.32	$180.69	$311.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $145.83 / $266.61 / $477.99	Professional		$145.83	$266.61	$477.99
United Facility/Professional Professional Modifier Low / Median / High Price $235.00 / $278.83 / $360.90	Professional		$235.00	$278.83	$360.90