Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.04 / $192.56 / $435.68	Professional		$87.04	$192.56	$435.68
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 $137.76 / $353.07 / $415.38	Professional		$137.76	$353.07	$415.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.76 / $137.76 / $137.76	Facility		$137.76	$137.76	$137.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.84 / $256.69 / $489.90	Professional		$94.84	$256.69	$489.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $88.52 / $251.83 / $402.27	Facility		$88.52	$251.83	$402.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.98 / $268.80 / $668.34	Professional		$123.98	$268.80	$668.34
United Facility/Professional Professional Modifier Low / Median / High Price $323.83 / $399.62 / $510.85	Professional		$323.83	$399.62	$510.85