Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.51 / $207.15 / $451.29	Professional		$73.51	$207.15	$451.29
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 $126.19 / $126.19 / $432.21	Professional		$126.19	$126.19	$432.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.19 / $126.19 / $126.19	Facility		$126.19	$126.19	$126.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.40 / $234.45 / $505.66	Professional		$83.40	$234.45	$505.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.47 / $208.18 / $399.11	Facility		$72.47	$208.18	$399.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $112.44 / $277.24 / $703.08	Professional		$112.44	$277.24	$703.08
United Facility/Professional Professional Modifier Low / Median / High Price $328.50 / $379.59 / $510.99	Professional		$328.50	$379.59	$510.99