Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $317.39 / $317.39 / $317.39	Facility		$317.39	$317.39	$317.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.61 / $135.82 / $196.24	Professional		$89.61	$135.82	$196.24
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 $136.71 / $210.32 / $240.29	Professional		$136.71	$210.32	$240.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $210.32 / $240.29 / $240.29	Facility		$210.32	$240.29	$240.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.00 / $145.13 / $216.26	Professional		$69.00	$145.13	$216.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.44 / $149.74 / $204.50	Facility		$120.44	$149.74	$204.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $167.68 / $281.80	Professional		$68.00	$167.68	$281.80
United Facility/Professional Professional Modifier Low / Median / High Price $110.30 / $172.07 / $250.88	Professional		$110.30	$172.07	$250.88