Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $396.00 / $396.00 / $396.00	Facility		$396.00	$396.00	$396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.61 / $87.97 / $156.01	Professional		$41.61	$87.97	$156.01
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 $72.56 / $72.56 / $150.90	Professional		$72.56	$72.56	$150.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.56 / $72.56 / $72.56	Facility		$72.56	$72.56	$72.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.56 / $81.48 / $165.87	Professional		$72.56	$81.48	$165.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.58 / $174.85 / $191.02	Facility		$44.58	$174.85	$191.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.67 / $95.20 / $165.87	Professional		$47.67	$95.20	$165.87
United Facility/Professional Professional Modifier Low / Median / High Price $145.08 / $164.61 / $268.24	Professional		$145.08	$164.61	$268.24