Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.55 / $785.88 / $785.88	Professional		$140.55	$785.88	$785.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $163.77 / $425.80 / $94,999.99	Facility		$163.77	$425.80	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.77 / $163.77 / $163.77	Professional		$163.77	$163.77	$163.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.22 / $207.77 / $696.65	Facility		$177.22	$207.77	$696.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.22 / $177.22 / $177.22	Professional		$177.22	$177.22	$177.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $177.22 / $207.77 / $696.65	Facility		$177.22	$207.77	$696.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $110.00 / $177.22	Professional		$110.00	$110.00	$177.22
United Facility/Professional Facility Modifier Low / Median / High Price $122.22 / $122.22 / $122.22	Facility		$122.22	$122.22	$122.22
United Facility/Professional Professional Modifier Low / Median / High Price $51.33 / $51.33 / $122.22	Professional		$51.33	$51.33	$122.22