Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.81 / $207.71 / $622.75	Professional		$148.81	$207.71	$622.75
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 $187.18 / $187.18 / $392.25	Professional		$187.18	$187.18	$392.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $187.18 / $187.18 / $187.18	Facility		$187.18	$187.18	$187.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.38 / $203.52 / $353.03	Professional		$155.38	$203.52	$353.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.55 / $204.14 / $329.39	Facility		$93.55	$204.14	$329.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $155.38 / $240.36 / $469.95	Professional		$155.38	$240.36	$469.95
United Facility/Professional Professional Modifier Low / Median / High Price $212.24 / $380.70 / $446.82	Professional		$212.24	$380.70	$446.82