Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.68 / $129.15 / $192.36	Professional		$112.68	$129.15	$192.36
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 $138.29 / $138.29 / $187.18	Professional		$138.29	$138.29	$187.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.29 / $138.29 / $138.29	Facility		$138.29	$138.29	$138.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.36 / $138.29 / $196.13	Professional		$92.36	$138.29	$196.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $110.18 / $139.96 / $700.00	Facility		$110.18	$139.96	$700.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $90.43 / $139.11 / $193.09	Professional		$90.43	$139.11	$193.09
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 $176.27 / $200.00 / $327.45	Professional		$176.27	$200.00	$327.45