Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.20 / $213.21 / $943.96	Professional		$117.20	$213.21	$943.96
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 $291.29 / $291.29 / $493.20	Professional		$291.29	$291.29	$493.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $291.29 / $291.29 / $291.29	Facility		$291.29	$291.29	$291.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.14 / $293.27 / $620.14	Professional		$164.14	$293.27	$620.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $126.91 / $237.78 / $399.74	Facility		$126.91	$237.78	$399.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $247.52 / $444.00 / $794.96	Professional		$247.52	$444.00	$794.96
United Facility/Professional Professional Modifier Low / Median / High Price $298.91 / $452.63 / $616.41	Professional		$298.91	$452.63	$616.41