Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.12 / $121.06 / $239.01	Professional		$80.12	$121.06	$239.01
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 $127.77 / $127.77 / $187.71	Professional		$127.77	$127.77	$187.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.77 / $136.77 / $210.10	Professional		$127.77	$136.77	$210.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $62.40 / $220.35 / $237.19	Facility		$62.40	$220.35	$237.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $82.72 / $127.77 / $210.10	Professional		$82.72	$127.77	$210.10
United Facility/Professional Professional Modifier Low / Median / High Price $172.89 / $206.79 / $325.58	Professional		$172.89	$206.79	$325.58