Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.63 / $195.25 / $321.91	Professional		$126.63	$195.25	$321.91
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 $208.74 / $208.74 / $311.80	Professional		$208.74	$208.74	$311.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.74 / $208.74 / $208.74	Facility		$208.74	$208.74	$208.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.74 / $217.09 / $311.80	Professional		$208.74	$217.09	$311.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $129.54 / $334.75 / $350.41	Facility		$129.54	$334.75	$350.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $134.59 / $208.74 / $313.27	Professional		$134.59	$208.74	$313.27
United Facility/Professional Professional Modifier Low / Median / High Price $262.66 / $322.20 / $538.34	Professional		$262.66	$322.20	$538.34