Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.73 / $87.73 / $399.00	Professional		$87.73	$87.73	$399.00
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 $156.01 / $156.01 / $156.01	Professional		$156.01	$156.01	$156.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.73 / $167.74 / $167.74	Facility		$96.73	$167.74	$167.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.73 / $136.41 / $167.74	Professional		$96.73	$136.41	$167.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.44 / $159.75 / $167.74	Facility		$81.44	$159.75	$167.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $96.73 / $125.90 / $167.87	Professional		$96.73	$125.90	$167.87
United Facility/Professional Professional Modifier Low / Median / High Price $65.87 / $72.88 / $83.42	Professional		$65.87	$72.88	$83.42