Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.38 / $196.97 / $398.45	Professional		$171.38	$196.97	$398.45
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 $299.18 / $299.18 / $393.82	Professional		$299.18	$299.18	$393.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $299.18 / $299.18 / $299.18	Facility		$299.18	$299.18	$299.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.51 / $299.18 / $393.82	Professional		$219.51	$299.18	$393.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $183.72 / $335.40 / $356.73	Facility		$183.72	$335.40	$356.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $195.93 / $299.18 / $418.73	Professional		$195.93	$299.18	$418.73
United Facility/Professional Professional Modifier Low / Median / High Price $299.27 / $370.04 / $693.74	Professional		$299.27	$370.04	$693.74