Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.30 / $138.02 / $248.43	Facility		$112.30	$138.02	$248.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.26 / $227.71 / $454.54	Professional		$174.26	$227.71	$454.54
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $231.39 / $296.08 / $772.00	Professional	25	$231.39	$296.08	$772.00
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 $297.08 / $297.08 / $441.67	Professional		$297.08	$297.08	$441.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.08 / $297.08 / $525.00	Facility		$297.08	$297.08	$525.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.72 / $321.56 / $520.49	Professional		$225.72	$321.56	$520.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $164.03 / $244.83 / $395.14	Facility		$164.03	$244.83	$395.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $209.81 / $297.08 / $441.67	Professional		$209.81	$297.08	$441.67
United Facility/Professional Professional Modifier Low / Median / High Price $357.25 / $405.34 / $759.41	Professional		$357.25	$405.34	$759.41