Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.85 / $113.39 / $201.47	Professional		$84.85	$113.39	$201.47
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 $132.50 / $132.50 / $199.28	Professional		$132.50	$132.50	$199.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.50 / $132.50 / $132.50	Facility		$132.50	$132.50	$132.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.23 / $144.34 / $199.28	Professional		$125.23	$144.34	$199.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.67 / $192.40 / $204.93	Facility		$81.67	$192.40	$204.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.27 / $134.26 / $201.66	Professional		$87.27	$134.26	$201.66
United Facility/Professional Facility Modifier Low / Median / High Price $154.06 / $154.06 / $154.06	Facility		$154.06	$154.06	$154.06
United Facility/Professional Professional Modifier Low / Median / High Price $161.21 / $198.94 / $348.71	Professional		$161.21	$198.94	$348.71