Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.53 / $182.53 / $182.53	Professional		$182.53	$182.53	$182.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $377.52 / $77,999.99 / $94,999.99	Facility		$377.52	$77,999.99	$94,999.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.39 / $18.39 / $40.42	Facility		$18.39	$18.39	$40.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $186.93 / $186.93	Professional		$18.39	$186.93	$186.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.39 / $18.39 / $40.42	Facility		$18.39	$18.39	$40.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.27 / $18.87 / $219.91	Professional		$12.27	$18.87	$219.91
United Facility/Professional Professional Modifier Low / Median / High Price $183.26 / $183.26 / $183.26	Professional		$183.26	$183.26	$183.26