Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.34 / $344.85 / $1,375.70	Facility		$149.34	$344.85	$1,375.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.00 / $124.59 / $164.52	Professional		$88.00	$124.59	$164.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.42 / $77,999.99 / $94,999.99	Facility		$208.42	$77,999.99	$94,999.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.53 / $163.53 / $340.70	Facility		$163.53	$163.53	$340.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $123.36 / $163.53	Professional		$123.36	$123.36	$163.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $163.53 / $163.53 / $340.70	Facility		$163.53	$163.53	$340.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $133.84 / $174.57	Professional		$123.36	$133.84	$174.57
United Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $123.36 / $123.36	Professional		$123.36	$123.36	$123.36