Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $463.00 / $463.00	Facility		$463.00	$463.00	$463.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.53 / $110.10 / $196.94	Professional		$66.53	$110.10	$196.94
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 $61.05 / $67.83 / $139.86	Professional		$61.05	$67.83	$139.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.83 / $67.83 / $67.83	Facility		$67.83	$67.83	$67.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.66 / $109.07 / $184.81	Professional		$57.66	$109.07	$184.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.75 / $124.63 / $213.79	Facility		$50.75	$124.63	$213.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.63 / $114.11 / $222.78	Professional		$61.63	$114.11	$222.78
United Facility/Professional Professional Modifier Low / Median / High Price $121.38 / $150.84 / $204.79	Professional		$121.38	$150.84	$204.79