Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.16 / $171.53 / $439.48	Professional		$65.16	$171.53	$439.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47,000.00 / $81,499.99 / $94,999.99	Facility		$47,000.00	$81,499.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.53 / $102.53 / $501.09	Professional		$102.53	$102.53	$501.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.53 / $203.42 / $392.39	Facility		$102.53	$203.42	$392.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.18 / $170.04 / $501.09	Professional		$76.18	$170.04	$501.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.79 / $178.24 / $392.39	Facility		$64.79	$178.24	$392.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $86.62 / $310.45 / $723.55	Professional		$86.62	$310.45	$723.55
United Facility/Professional Professional Modifier Low / Median / High Price $253.55 / $397.44 / $478.40	Professional		$253.55	$397.44	$478.40