Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.43 / $104.18 / $163.16	Professional		$74.43	$104.18	$163.16
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 $108.60 / $127.77 / $190.87	Professional		$108.60	$127.77	$190.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.77 / $127.77 / $127.77	Facility		$127.77	$127.77	$127.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.65 / $139.79 / $190.87	Professional		$90.65	$139.79	$190.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $62.95 / $93.74 / $127.77	Facility		$62.95	$93.74	$127.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $103.88 / $152.80 / $228.90	Professional		$103.88	$152.80	$228.90
United Facility/Professional Professional Modifier Low / Median / High Price $162.19 / $190.23 / $214.40	Professional		$162.19	$190.23	$214.40