Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.80 / $252.94 / $893.71	Professional		$162.80	$252.94	$893.71
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 $264.48 / $264.48 / $707.20	Professional		$264.48	$264.48	$707.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $264.48 / $264.48 / $264.48	Facility		$264.48	$264.48	$264.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.69 / $431.57 / $889.59	Professional		$179.69	$431.57	$889.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $163.36 / $336.70 / $542.04	Facility		$163.36	$336.70	$542.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $238.03 / $481.01 / $1,139.89	Professional		$238.03	$481.01	$1,139.89
United Facility/Professional Professional Modifier Low / Median / High Price $317.52 / $679.25 / $854.04	Professional		$317.52	$679.25	$854.04