Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.93 / $190.75 / $1,019.66	Professional		$162.93	$190.75	$1,019.66
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 $318.63 / $318.63 / $318.63	Professional		$318.63	$318.63	$318.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $318.63 / $318.63 / $318.63	Facility		$318.63	$318.63	$318.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.33 / $303.83 / $516.51	Professional		$196.33	$303.83	$516.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $196.74 / $259.47 / $335.86	Facility		$196.74	$259.47	$335.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $197.64 / $318.63 / $524.72	Professional		$197.64	$318.63	$524.72
United Facility/Professional Professional Modifier Low / Median / High Price $258.95 / $319.37 / $397.70	Professional		$258.95	$319.37	$397.70