Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.37 / $81.37 / $415.00	Professional		$81.37	$81.37	$415.00
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 $176.41 / $176.41 / $176.41	Professional		$176.41	$176.41	$176.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.88 / $189.68 / $189.68	Facility		$86.88	$189.68	$189.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.88 / $154.25 / $189.68	Professional		$86.88	$154.25	$189.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.54 / $180.65 / $189.68	Facility		$75.54	$180.65	$189.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $86.88 / $142.36 / $189.82	Professional		$86.88	$142.36	$189.82
United Facility/Professional Professional Modifier Low / Median / High Price $61.09 / $67.59 / $77.38	Professional		$61.09	$67.59	$77.38