Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $573.29 / $573.29 / $573.29	Facility		$573.29	$573.29	$573.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.50 / $137.03 / $293.93	Professional		$35.50	$137.03	$293.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64,999.99 / $81,499.99 / $94,999.99	Facility		$64,999.99	$81,499.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.31 / $57.31 / $281.30	Professional		$57.31	$57.31	$281.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.31 / $120.98 / $233.36	Facility		$57.31	$120.98	$233.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.54 / $108.67 / $281.30	Professional		$40.54	$108.67	$281.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.53 / $159.41 / $282.73	Facility		$44.53	$159.41	$282.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.58 / $183.10 / $410.35	Professional		$51.58	$183.10	$410.35
United Facility/Professional Professional Modifier Low / Median / High Price $225.13 / $268.24 / $306.56	Professional		$225.13	$268.24	$306.56