Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.06 / $93.39 / $171.73	Professional		$78.06	$93.39	$171.73
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 $157.74 / $157.74 / $165.10	Professional		$157.74	$157.74	$165.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $157.74 / $157.74 / $157.74	Facility		$157.74	$157.74	$157.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.26 / $124.34 / $167.62	Professional		$97.26	$124.34	$167.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $94.11 / $128.25 / $157.74	Facility		$94.11	$128.25	$157.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $98.34 / $139.32 / $185.50	Professional		$98.34	$139.32	$185.50
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 $151.84 / $169.36 / $195.64	Professional		$151.84	$169.36	$195.64