Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.57 / $98.84 / $340.00	Professional		$89.57	$98.84	$340.00
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 $126.88 / $133.55 / $133.55	Professional		$126.88	$133.55	$133.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.55 / $145.38 / $145.38	Facility		$133.55	$145.38	$145.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.54 / $120.20 / $184.39	Professional		$80.54	$120.20	$184.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.78 / $82.79 / $145.38	Facility		$33.78	$82.79	$145.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.20 / $115.90 / $159.09	Professional		$81.20	$115.90	$159.09
United Facility/Professional Professional Modifier Low / Median / High Price $116.56 / $143.84 / $177.28	Professional		$116.56	$143.84	$177.28