Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.10 / $148.75 / $287.89	Professional		$107.10	$148.75	$287.89
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 $155.53 / $182.98 / $281.83	Professional		$155.53	$182.98	$281.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.98 / $182.98 / $182.98	Facility		$182.98	$182.98	$182.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.62 / $198.11 / $276.10	Professional		$128.62	$198.11	$276.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $90.34 / $138.74 / $182.98	Facility		$90.34	$138.74	$182.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $147.49 / $216.94 / $335.86	Professional		$147.49	$216.94	$335.86
United Facility/Professional Professional Modifier Low / Median / High Price $243.54 / $275.11 / $309.93	Professional		$243.54	$275.11	$309.93