Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.87 / $185.87 / $204.45	Professional		$185.87	$185.87	$204.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47,000.00 / $81,499.99 / $94,999.99	Facility		$47,000.00	$81,499.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $353.50 / $353.50 / $353.50	Professional		$353.50	$353.50	$353.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.42 / $380.08 / $380.08	Facility		$216.42	$380.08	$380.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.42 / $309.08 / $380.08	Professional		$216.42	$309.08	$380.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $172.54 / $361.98 / $380.08	Facility		$172.54	$361.98	$380.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $216.42 / $285.26 / $380.35	Professional		$216.42	$285.26	$380.35
United Facility/Professional Facility Modifier Low / Median / High Price $164.30 / $164.30 / $193.00	Facility		$164.30	$164.30	$193.00
United Facility/Professional Professional Modifier Low / Median / High Price $139.55 / $154.40 / $176.74	Professional		$139.55	$154.40	$176.74