Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.98 / $150.62 / $268.30	Professional		$113.98	$150.62	$268.30
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 $178.77 / $178.77 / $267.11	Professional		$178.77	$178.77	$267.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.77 / $178.77 / $178.77	Facility		$178.77	$178.77	$178.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.44 / $192.64 / $267.11	Professional		$168.44	$192.64	$267.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $110.05 / $256.10 / $272.61	Facility		$110.05	$256.10	$272.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.42 / $180.63 / $270.14	Professional		$117.42	$180.63	$270.14
United Facility/Professional Professional Modifier Low / Median / High Price $214.79 / $265.06 / $467.12	Professional		$214.79	$265.06	$467.12