Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.82 / $222.62 / $420.52	Professional		$126.82	$222.62	$420.52
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 $218.21 / $218.21 / $381.21	Professional		$218.21	$218.21	$381.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.21 / $218.21 / $218.21	Facility		$218.21	$218.21	$218.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.46 / $250.37 / $512.14	Professional		$142.46	$250.37	$512.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $126.54 / $220.41 / $419.35	Facility		$126.54	$220.41	$419.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $187.38 / $343.58 / $613.35	Professional		$187.38	$343.58	$613.35
United Facility/Professional Professional Modifier Low / Median / High Price $318.19 / $386.96 / $488.66	Professional		$318.19	$386.96	$488.66