Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.53 / $93.76 / $851.00	Professional		$77.53	$93.76	$851.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,380.00 / $64,999.99 / $68,099.99	Facility		$1,380.00	$64,999.99	$68,099.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.55 / $133.55 / $133.55	Professional		$133.55	$133.55	$133.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.55 / $133.55 / $133.55	Facility		$133.55	$133.55	$133.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.98 / $113.40 / $230.23	Professional		$79.98	$113.40	$230.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.92 / $104.12 / $199.82	Facility		$85.92	$104.12	$199.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $99.54 / $173.19 / $227.34	Professional		$99.54	$173.19	$227.34
United Facility/Professional Professional Modifier Low / Median / High Price $109.80 / $133.71 / $163.47	Professional		$109.80	$133.71	$163.47