Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.51 / $94.67 / $545.46	Professional		$84.51	$94.67	$545.46
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 $153.30 / $179.22 / $210.85	Professional		$153.30	$179.22	$210.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.35 / $180.35 / $180.35	Facility		$180.35	$180.35	$180.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.89 / $162.32 / $202.24	Professional		$85.89	$162.32	$202.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $88.54 / $107.55 / $180.35	Facility		$88.54	$107.55	$180.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $115.31 / $177.40 / $246.35	Professional		$115.31	$177.40	$246.35
United Facility/Professional Professional Modifier Low / Median / High Price $161.46 / $194.32 / $229.02	Professional		$161.46	$194.32	$229.02