Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.64 / $80.64 / $80.64	Facility		$80.64	$80.64	$80.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.60 / $177.56 / $343.48	Professional		$149.60	$177.56	$343.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47,000.00 / $81,499.99 / $94,999.99	Facility		$47,000.00	$81,499.99	$94,999.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $202.68 / $202.68 / $202.68	Facility		$202.68	$202.68	$202.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.44 / $174.44 / $202.68	Professional		$174.44	$174.44	$202.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $202.68 / $202.68 / $202.68	Facility		$202.68	$202.68	$202.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $174.44 / $192.63 / $251.25	Professional		$174.44	$192.63	$251.25
United Facility/Professional Professional Modifier Low / Median / High Price $176.00 / $176.00 / $186.90	Professional		$176.00	$176.00	$186.90