Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.77 / $201.22 / $445.52	Professional		$142.77	$201.22	$445.52
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 $240.82 / $240.82 / $342.82	Professional		$240.82	$240.82	$342.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $240.82 / $240.82 / $240.82	Facility		$240.82	$240.82	$240.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.33 / $248.51 / $463.40	Professional		$158.33	$248.51	$463.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $150.88 / $240.82 / $376.97	Facility		$150.88	$240.82	$376.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $208.53 / $342.82 / $551.59	Professional		$208.53	$342.82	$551.59
United Facility/Professional Professional Modifier Low / Median / High Price $287.64 / $346.45 / $526.32	Professional		$287.64	$346.45	$526.32