Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.06 / $203.06 / $500.00	Professional		$203.06	$203.06	$500.00
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 $373.63 / $373.63 / $373.63	Professional		$373.63	$373.63	$373.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.27 / $401.73 / $401.73	Facility		$211.27	$401.73	$401.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.27 / $401.73 / $401.73	Professional		$211.27	$401.73	$401.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $188.50 / $382.60 / $401.73	Facility		$188.50	$382.60	$401.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $211.27 / $301.51 / $402.01	Professional		$211.27	$301.51	$402.01
United Facility/Professional Professional Modifier Low / Median / High Price $152.44 / $168.68 / $258.12	Professional		$152.44	$168.68	$258.12