Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.42 / $188.88 / $413.79	Professional		$107.42	$188.88	$413.79
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 $193.49 / $193.49 / $397.50	Professional		$193.49	$193.49	$397.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.49 / $193.49 / $193.49	Facility		$193.49	$193.49	$193.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.80 / $242.57 / $510.75	Professional		$119.80	$242.57	$510.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.79 / $191.17 / $356.10	Facility		$91.79	$191.17	$356.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $164.53 / $317.75 / $636.79	Professional		$164.53	$317.75	$636.79
United Facility/Professional Professional Modifier Low / Median / High Price $281.29 / $353.17 / $472.06	Professional		$281.29	$353.17	$472.06