Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.54 / $122.20 / $735.72	Professional		$60.54	$122.20	$735.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64,999.99 / $81,499.99 / $94,999.99	Facility		$64,999.99	$81,499.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.17 / $104.69 / $212.42	Professional		$95.17	$104.69	$212.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.17 / $95.17 / $95.17	Facility		$95.17	$95.17	$95.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.78 / $105.92 / $208.20	Professional		$71.78	$105.92	$208.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.54 / $103.70 / $197.22	Facility		$47.54	$103.70	$197.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $82.04 / $133.90 / $255.78	Professional		$82.04	$133.90	$255.78
United Facility/Professional Professional Modifier Low / Median / High Price $170.66 / $209.37 / $236.80	Professional		$170.66	$209.37	$236.80