Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.88 / $189.05 / $1,136.29	Professional		$170.88	$189.05	$1,136.29
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 $338.62 / $338.62 / $381.73	Professional		$338.62	$338.62	$381.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.62 / $338.62 / $338.62	Facility		$338.62	$338.62	$338.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.64 / $247.23 / $400.42	Professional		$217.64	$247.23	$400.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $227.42 / $290.44 / $347.13	Facility		$227.42	$290.44	$347.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $220.11 / $304.77 / $400.42	Professional		$220.11	$304.77	$400.42
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $300.14	Facility		$200.00	$200.00	$300.14
United Facility/Professional Professional Modifier Low / Median / High Price $359.84 / $394.44 / $454.74	Professional		$359.84	$394.44	$454.74