Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.13 / $122.37 / $162.91	Professional		$58.13	$122.37	$162.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64,999.99 / $64,999.99 / $89,999.99	Facility		$64,999.99	$64,999.99	$89,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.77 / $110.42 / $231.35	Professional		$71.77	$110.42	$231.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.42 / $231.35 / $231.35	Facility		$110.42	$231.35	$231.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.83 / $171.32 / $231.35	Professional		$100.83	$171.32	$231.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.93 / $126.87 / $174.43	Facility		$57.93	$126.87	$174.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $110.42 / $200.80 / $343.15	Professional		$110.42	$200.80	$343.15
United Facility/Professional Professional Modifier Low / Median / High Price $212.22 / $251.22 / $400.52	Professional		$212.22	$251.22	$400.52