Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.08 / $171.85 / $379.87	Professional		$70.08	$171.85	$379.87
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 $114.10 / $290.06 / $341.24	Professional		$114.10	$290.06	$341.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.10 / $114.10 / $114.10	Facility		$114.10	$114.10	$114.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.99 / $225.74 / $441.16	Professional		$96.99	$225.74	$441.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $73.39 / $217.42 / $469.32	Facility		$73.39	$217.42	$469.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $103.37 / $229.58 / $550.03	Professional		$103.37	$229.58	$550.03
United Facility/Professional Professional Modifier Low / Median / High Price $285.50 / $354.02 / $445.89	Professional		$285.50	$354.02	$445.89