Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $299.92 / $299.92 / $299.92	Facility		$299.92	$299.92	$299.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.25 / $93.73 / $163.79	Professional		$74.25	$93.73	$163.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64,999.99 / $64,999.99 / $89,999.99	Facility		$64,999.99	$64,999.99	$89,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.62 / $142.49 / $163.00	Professional		$92.62	$142.49	$163.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.49 / $163.00 / $163.00	Facility		$142.49	$163.00	$163.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $105.95 / $145.28	Professional		$63.00	$105.95	$145.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $88.50 / $104.97 / $153.25	Facility		$88.50	$104.97	$153.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $111.63 / $190.92	Professional		$65.00	$111.63	$190.92
United Facility/Professional Professional Modifier Low / Median / High Price $74.98 / $120.56 / $188.57	Professional		$74.98	$120.56	$188.57