Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.95 / $168.25 / $813.00	Professional		$102.95	$168.25	$813.00
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 $175.09 / $175.09 / $298.13	Professional		$175.09	$175.09	$298.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.09 / $175.09 / $175.09	Facility		$175.09	$175.09	$175.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.90 / $190.31 / $388.24	Professional		$114.90	$190.31	$388.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $113.25 / $179.86 / $314.35	Facility		$113.25	$179.86	$314.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $151.53 / $268.32 / $479.68	Professional		$151.53	$268.32	$479.68
United Facility/Professional Facility Modifier Low / Median / High Price $227.36 / $227.36 / $6,486.14	Facility		$227.36	$227.36	$6,486.14
United Facility/Professional Professional Modifier Low / Median / High Price $237.35 / $282.80 / $378.66	Professional		$237.35	$282.80	$378.66