Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $812.83 / $1,047.13	Professional		$512.86	$812.83	$1,047.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $75,857.76 / $95,499.26	Facility		$2,818.38	$75,857.76	$95,499.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $4,365.16	Professional		$758.58	$758.58	$4,365.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $724.44 / $1,698.24	Facility		$100.00	$724.44	$1,698.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $97.72 / $776.25	Professional		$79.43	$97.72	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $93.33 / $3,388.44	Facility		$64.57	$93.33	$3,388.44
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $104.71 / $870.96	Professional		$60.26	$104.71	$870.96