Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.16 / $294.52 / $1,893.76	Professional		$206.16	$294.52	$1,893.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $394.66 / $2,240.67 / $94,999.99	Facility		$394.66	$2,240.67	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $394.66 / $394.66 / $394.66	Professional		$394.66	$394.66	$394.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $427.05 / $500.68 / $1,678.76	Facility		$427.05	$500.68	$1,678.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $427.05 / $427.05 / $427.05	Professional		$427.05	$427.05	$427.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $427.05 / $500.68 / $1,678.76	Facility		$427.05	$500.68	$1,678.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $265.07 / $265.07 / $427.05	Professional		$265.07	$265.07	$427.05
United Facility/Professional Professional Modifier Low / Median / High Price $123.70 / $123.70 / $294.52	Professional		$123.70	$123.70	$294.52