Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.50 / $855.90 / $1,449.24	Facility		$652.50	$855.90	$1,449.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.27 / $167.29 / $530.11	Professional		$111.27	$167.29	$530.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47,000.00 / $81,499.99 / $94,999.99	Facility		$47,000.00	$81,499.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.20 / $167.20 / $241.34	Professional		$167.20	$167.20	$241.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $167.20 / $167.20 / $286.88	Facility		$167.20	$167.20	$286.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.00 / $241.34 / $445.97	Professional		$128.00	$241.34	$445.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $167.20 / $438.75 / $447.18	Facility		$167.20	$438.75	$447.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $110.76 / $183.22 / $322.00	Professional		$110.76	$183.22	$322.00
United Facility/Professional Professional Modifier Low / Median / High Price $234.51 / $285.83 / $432.00	Professional		$234.51	$285.83	$432.00