Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.50 / $47.50 / $47.50	Facility		$47.50	$47.50	$47.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.90 / $218.41 / $433.60	Professional		$100.90	$218.41	$433.60
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 $184.56 / $184.56 / $424.85	Professional		$184.56	$184.56	$424.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.56 / $184.56 / $184.56	Facility		$184.56	$184.56	$184.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.14 / $189.15 / $424.85	Professional		$114.14	$189.15	$424.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.04 / $184.56 / $840.00	Facility		$40.04	$184.56	$840.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $119.17 / $262.16 / $442.14	Professional		$119.17	$262.16	$442.14
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 $359.28 / $419.52 / $493.12	Professional		$359.28	$419.52	$493.12