Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.62 / $222.36 / $934.00	Professional		$218.62	$222.36	$934.00
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 $337.04 / $337.04 / $404.45	Professional		$337.04	$337.04	$404.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $337.04 / $337.04 / $337.04	Facility		$337.04	$337.04	$337.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.27 / $337.04 / $359.09	Professional		$244.27	$337.04	$359.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $167.41 / $393.25 / $406.70	Facility		$167.41	$393.25	$406.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $202.19 / $303.31 / $437.50	Professional		$202.19	$303.31	$437.50
United Facility/Professional Professional Modifier Low / Median / High Price $308.55 / $370.79 / $582.75	Professional		$308.55	$370.79	$582.75