Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $448.20 / $448.20 / $607.07	Facility		$448.20	$448.20	$607.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.00 / $400.00 / $1,767.16	Professional		$175.00	$400.00	$1,767.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $368.27 / $957.50 / $94,999.99	Facility		$368.27	$957.50	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $368.27 / $368.27 / $368.27	Professional		$368.27	$368.27	$368.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.50 / $467.21 / $1,566.53	Facility		$398.50	$467.21	$1,566.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.50 / $398.50 / $398.50	Professional		$398.50	$398.50	$398.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $398.50 / $467.21 / $1,566.53	Facility		$398.50	$467.21	$1,566.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $247.35 / $247.35 / $398.50	Professional		$247.35	$247.35	$398.50
United Facility/Professional Professional Modifier Low / Median / High Price $115.43 / $115.43 / $274.83	Professional		$115.43	$115.43	$274.83