Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.97 / $203.37 / $356.61	Professional		$146.97	$203.37	$356.61
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 $257.12 / $257.12 / $348.61	Professional		$257.12	$257.12	$348.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.12 / $257.12 / $257.12	Facility		$257.12	$257.12	$257.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.25 / $263.64 / $356.77	Professional		$222.25	$263.64	$356.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $158.26 / $357.50 / $395.31	Facility		$158.26	$357.50	$395.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $166.14 / $257.12 / $356.77	Professional		$166.14	$257.12	$356.77
United Facility/Professional Professional Modifier Low / Median / High Price $290.45 / $358.43 / $611.41	Professional		$290.45	$358.43	$611.41