Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.87 / $201.02 / $386.70	Professional		$117.87	$201.02	$386.70
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 $232.40 / $232.40 / $371.74	Professional		$232.40	$232.40	$371.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $232.40 / $232.40 / $232.40	Facility		$232.40	$232.40	$232.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.40 / $232.40 / $371.74	Professional		$149.40	$232.40	$371.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $90.48 / $153.90 / $285.64	Facility		$90.48	$153.90	$285.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $149.31 / $245.35 / $377.44	Professional		$149.31	$245.35	$377.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $1,450.00 / $1,450.00	Facility		$1,450.00	$1,450.00	$1,450.00
United Facility/Professional Professional Modifier Low / Median / High Price $337.09 / $384.53 / $464.09	Professional		$337.09	$384.53	$464.09