Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.16 / $65.16 / $1,044.08	Facility		$65.16	$65.16	$1,044.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.95 / $136.79 / $620.91	Professional		$111.95	$136.79	$620.91
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 $194.55 / $194.55 / $243.97	Professional		$194.55	$194.55	$243.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.55 / $194.55 / $194.55	Facility		$194.55	$194.55	$194.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.78 / $194.55 / $245.02	Professional		$121.78	$194.55	$245.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.65 / $119.56 / $163.19	Facility		$95.65	$119.56	$163.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $140.51 / $211.03 / $297.00	Professional		$140.51	$211.03	$297.00
United Facility/Professional Professional Modifier Low / Median / High Price $219.42 / $250.56 / $273.81	Professional		$219.42	$250.56	$273.81