Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.62 / $168.42 / $513.53	Professional		$151.62	$168.42	$513.53
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 $286.56 / $286.56 / $343.87	Professional		$286.56	$286.56	$343.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $286.56 / $286.56 / $286.56	Facility		$286.56	$286.56	$286.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.46 / $286.56 / $450.14	Professional		$168.46	$286.56	$450.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $175.71 / $221.25 / $300.44	Facility		$175.71	$221.25	$300.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $187.02 / $295.07 / $480.70	Professional		$187.02	$295.07	$480.70
United Facility/Professional Professional Modifier Low / Median / High Price $241.58 / $287.83 / $385.41	Professional		$241.58	$287.83	$385.41