Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.75 / $159.76 / $458.15	Professional		$68.75	$159.76	$458.15
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 $118.83 / $118.83 / $441.67	Professional		$118.83	$118.83	$441.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.83 / $118.83 / $118.83	Facility		$118.83	$118.83	$118.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.23 / $219.33 / $512.33	Professional		$76.23	$219.33	$512.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $196.22 / $393.42	Facility		$58.88	$196.22	$393.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $104.19 / $280.80 / $711.77	Professional		$104.19	$280.80	$711.77
United Facility/Professional Professional Modifier Low / Median / High Price $326.95 / $423.97 / $784.39	Professional		$326.95	$423.97	$784.39