Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.26 / $138.74 / $531.52	Professional		$103.26	$138.74	$531.52
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 $159.32 / $159.32 / $242.39	Professional		$159.32	$159.32	$242.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.32 / $159.32 / $159.32	Facility		$159.32	$159.32	$159.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.09 / $171.69 / $242.39	Professional		$155.09	$171.69	$242.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.16 / $235.95 / $250.47	Facility		$97.16	$235.95	$250.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $104.45 / $160.68 / $244.80	Professional		$104.45	$160.68	$244.80
United Facility/Professional Facility Modifier Low / Median / High Price $186.07 / $186.07 / $186.07	Facility		$186.07	$186.07	$186.07
United Facility/Professional Professional Modifier Low / Median / High Price $195.98 / $246.02 / $423.64	Professional		$195.98	$246.02	$423.64