Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $673.40 / $673.40 / $673.40	Facility		$673.40	$673.40	$673.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.89 / $170.89 / $172.88	Professional		$170.89	$170.89	$172.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $201.44 / $64,999.99 / $94,999.99	Facility		$201.44	$64,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.44 / $201.44 / $201.44	Professional		$201.44	$201.44	$201.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.98 / $217.98 / $217.98	Facility		$217.98	$217.98	$217.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.31 / $217.98 / $217.98	Professional		$73.31	$217.98	$217.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $217.98 / $217.98 / $217.98	Facility		$217.98	$217.98	$217.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $135.30 / $135.30 / $217.98	Professional		$135.30	$135.30	$217.98
United Facility/Professional Professional Modifier Low / Median / High Price $63.14 / $63.14 / $150.33	Professional		$63.14	$63.14	$150.33