Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.23 / $166.62 / $349.51	Professional		$99.23	$166.62	$349.51
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 $180.35 / $287.82 / $338.62	Professional		$180.35	$287.82	$338.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.35 / $180.35 / $180.35	Facility		$180.35	$180.35	$180.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.10 / $212.29 / $445.17	Professional		$112.10	$212.29	$445.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $90.59 / $180.79 / $316.88	Facility		$90.59	$180.79	$316.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $153.99 / $290.69 / $544.82	Professional		$153.99	$290.69	$544.82
United Facility/Professional Professional Modifier Low / Median / High Price $252.89 / $305.11 / $463.31	Professional		$252.89	$305.11	$463.31