Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.90 / $117.90 / $117.90	Facility		$117.90	$117.90	$117.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.75 / $115.23 / $171.44	Professional		$97.75	$115.23	$171.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $198.64 / $77,999.99 / $94,999.99	Facility		$198.64	$77,999.99	$94,999.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.48 / $101.48 / $176.69	Facility		$101.48	$101.48	$176.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.48 / $115.07 / $115.07	Professional		$101.48	$115.07	$115.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $101.48 / $101.48 / $176.69	Facility		$101.48	$101.48	$176.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.64 / $93.28 / $120.10	Professional		$60.64	$93.28	$120.10
United Facility/Professional Professional Modifier Low / Median / High Price $116.10 / $116.10 / $123.29	Professional		$116.10	$116.10	$123.29