Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.00 / $208.00 / $236.80	Facility		$208.00	$208.00	$236.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.12 / $77.25 / $326.00	Professional		$57.12	$77.25	$326.00
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $57.12 / $57.12 / $57.12	Professional	CQ	$57.12	$57.12	$57.12
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 $158.27 / $158.27 / $158.27	Professional		$158.27	$158.27	$158.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.53 / $158.27 / $188.13	Facility		$134.53	$158.27	$188.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.73 / $125.45 / $158.27	Professional		$84.73	$125.45	$158.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.23 / $90.52 / $158.27	Facility		$61.23	$90.52	$158.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $84.60 / $135.66 / $176.12	Professional		$84.60	$135.66	$176.12
United Facility/Professional Professional Modifier Low / Median / High Price $81.63 / $87.70 / $100.86	Professional		$81.63	$87.70	$100.86