Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.54 / $147.80 / $750.00	Professional		$128.54	$147.80	$750.00
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 $625.70 / $625.70 / $625.70	Professional		$625.70	$625.70	$625.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $232.40 / $232.40 / $232.40	Facility		$232.40	$232.40	$232.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.29 / $232.40 / $242.11	Professional		$163.29	$232.40	$242.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $232.40 / $269.45 / $269.45	Facility		$232.40	$269.45	$269.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $140.72 / $211.11 / $304.50	Professional		$140.72	$211.11	$304.50
United Facility/Professional Professional Modifier Low / Median / High Price $198.34 / $244.76 / $405.16	Professional		$198.34	$244.76	$405.16