Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.64 / $176.09 / $639.58	Professional		$110.64	$176.09	$639.58
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 $199.80 / $199.80 / $295.50	Professional		$199.80	$199.80	$295.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.80 / $199.80 / $199.80	Facility		$199.80	$199.80	$199.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.15 / $199.80 / $309.62	Professional		$190.15	$199.80	$309.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $122.76 / $302.89 / $338.39	Facility		$122.76	$302.89	$338.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $128.63 / $199.80 / $309.62	Professional		$128.63	$199.80	$309.62
United Facility/Professional Professional Modifier Low / Median / High Price $250.98 / $309.72 / $520.76	Professional		$250.98	$309.72	$520.76