Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $179.04 / $205.32	Professional		$164.25	$179.04	$205.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47,000.00 / $77,999.99 / $94,999.99	Facility		$47,000.00	$77,999.99	$94,999.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.76 / $186.76 / $347.98	Facility		$186.76	$186.76	$347.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $164.25 / $186.76	Professional		$164.25	$164.25	$186.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $164.25 / $186.76 / $216.82	Facility		$164.25	$186.76	$216.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $184.14 / $209.20	Professional		$164.25	$184.14	$209.20
United Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $164.25 / $164.25	Professional		$164.25	$164.25	$164.25