Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.40 / $226.96 / $367.96	Professional		$173.40	$226.96	$367.96
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 $271.83 / $271.83 / $353.34	Professional		$271.83	$271.83	$353.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $271.83 / $271.83 / $271.83	Facility		$271.83	$271.83	$271.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.92 / $288.08 / $360.84	Professional		$229.92	$288.08	$360.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $170.27 / $380.25 / $409.86	Facility		$170.27	$380.25	$409.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $174.90 / $271.83 / $377.30	Professional		$174.90	$271.83	$377.30
United Facility/Professional Professional Modifier Low / Median / High Price $298.35 / $374.41 / $614.20	Professional		$298.35	$374.41	$614.20