Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.10 / $152.10 / $445.00	Facility		$152.10	$152.10	$445.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.64 / $65.95 / $109.84	Professional		$47.64	$65.95	$109.84
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 $78.34 / $78.34 / $106.74	Professional		$78.34	$78.34	$106.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.34 / $78.34 / $78.34	Facility		$78.34	$78.34	$78.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.68 / $78.34 / $110.00	Professional		$52.68	$78.34	$110.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $49.64 / $68.40 / $94.66	Facility		$49.64	$68.40	$94.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.17 / $78.72 / $108.75	Professional		$51.17	$78.72	$108.75
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Facility		$200.00	$200.00	$200.00
United Facility/Professional Professional Modifier Low / Median / High Price $100.36 / $111.94 / $135.09	Professional		$100.36	$111.94	$135.09