Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.81 / $147.02 / $843.46	Professional		$97.81	$147.02	$843.46
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 $174.04 / $174.04 / $255.54	Professional		$174.04	$174.04	$255.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.04 / $174.04 / $174.04	Facility		$174.04	$174.04	$174.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.62 / $174.04 / $360.00	Professional		$107.62	$174.04	$360.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.66 / $161.54 / $289.05	Facility		$100.66	$161.54	$289.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $147.16 / $250.75 / $411.16	Professional		$147.16	$250.75	$411.16
United Facility/Professional Professional Modifier Low / Median / High Price $211.03 / $259.27 / $324.08	Professional		$211.03	$259.27	$324.08