Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.23 / $92.02 / $387.00	Professional		$78.23	$92.02	$387.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64,999.99 / $81,499.99 / $94,999.99	Facility		$64,999.99	$81,499.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.62 / $175.62 / $175.62	Professional		$175.62	$175.62	$175.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.28 / $175.62 / $208.75	Facility		$149.28	$175.62	$208.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.33 / $149.28 / $196.91	Professional		$99.33	$149.28	$196.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.56 / $108.64 / $204.98	Facility		$66.56	$108.64	$204.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $104.66 / $150.78 / $196.91	Professional		$104.66	$150.78	$196.91
United Facility/Professional Professional Modifier Low / Median / High Price $128.37 / $148.77 / $172.91	Professional		$128.37	$148.77	$172.91