Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.64 / $217.69 / $642.57	Professional		$109.64	$217.69	$642.57
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 $184.56 / $184.56 / $399.08	Professional		$184.56	$184.56	$399.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.56 / $184.56 / $184.56	Facility		$184.56	$184.56	$184.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.03 / $270.12 / $421.20	Professional		$146.03	$270.12	$421.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $115.34 / $184.56 / $271.01	Facility		$115.34	$184.56	$271.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $162.40 / $302.99 / $568.40	Professional		$162.40	$302.99	$568.40
United Facility/Professional Professional Modifier Low / Median / High Price $364.63 / $417.01 / $633.82	Professional		$364.63	$417.01	$633.82