Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.17 / $229.27 / $919.00	Professional		$193.17	$229.27	$919.00
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 $355.44 / $355.44 / $400.13	Professional		$355.44	$355.44	$400.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $355.44 / $355.44 / $355.44	Facility		$355.44	$355.44	$355.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.85 / $355.44 / $400.13	Professional		$240.85	$355.44	$400.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $193.82 / $373.75 / $399.74	Facility		$193.82	$373.75	$399.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $233.08 / $350.95 / $496.41	Professional		$233.08	$350.95	$496.41
United Facility/Professional Professional Modifier Low / Median / High Price $321.48 / $383.03 / $699.31	Professional		$321.48	$383.03	$699.31