Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.62 / $81.68 / $396.00	Professional		$74.62	$81.68	$396.00
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 $143.02 / $143.02 / $143.02	Professional		$143.02	$143.02	$143.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.02 / $143.02 / $143.02	Facility		$143.02	$143.02	$143.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.80 / $143.02 / $155.38	Professional		$105.80	$143.02	$155.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.36 / $154.96 / $161.85	Facility		$70.36	$154.96	$161.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $86.05 / $129.09 / $186.20	Professional		$86.05	$129.09	$186.20
United Facility/Professional Professional Modifier Low / Median / High Price $126.99 / $156.94 / $250.66	Professional		$126.99	$156.94	$250.66