Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.88 / $146.68 / $239.21	Professional		$102.88	$146.68	$239.21
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 / $231.88	Professional		$175.09	$175.09	$231.88
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 $113.23 / $176.10 / $360.00	Professional		$113.23	$176.10	$360.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.99 / $164.55 / $276.39	Facility		$112.99	$164.55	$276.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $142.34 / $237.25 / $373.09	Professional		$142.34	$237.25	$373.09
United Facility/Professional Professional Modifier Low / Median / High Price $198.34 / $244.76 / $304.60	Professional		$198.34	$244.76	$304.60