Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.95 / $165.90 / $591.62	Professional		$117.95	$165.90	$591.62
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 $171.62 / $201.91 / $329.15	Professional		$171.62	$201.91	$329.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $201.91 / $201.91 / $201.91	Facility		$201.91	$201.91	$201.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.40 / $203.51 / $433.93	Professional		$135.40	$203.51	$433.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.94 / $201.44 / $316.88	Facility		$128.94	$201.44	$316.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $171.62 / $296.24 / $529.60	Professional		$171.62	$296.24	$529.60
United Facility/Professional Professional Modifier Low / Median / High Price $256.94 / $322.85 / $415.76	Professional		$256.94	$322.85	$415.76