Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.28 / $199.63 / $748.59	Professional		$145.28	$199.63	$748.59
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 $233.98 / $233.98 / $365.96	Professional		$233.98	$233.98	$365.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $233.98 / $233.98 / $233.98	Facility		$233.98	$233.98	$233.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.02 / $252.01 / $365.96	Professional		$215.02	$252.01	$365.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $143.11 / $332.80 / $357.36	Facility		$143.11	$332.80	$357.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $151.77 / $243.95 / $375.28	Professional		$151.77	$243.95	$375.28
United Facility/Professional Professional Modifier Low / Median / High Price $289.05 / $356.70 / $644.71	Professional		$289.05	$356.70	$644.71