Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.76 / $123.90 / $591.32	Professional		$80.76	$123.90	$591.32
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 $207.26 / $207.26 / $207.26	Professional		$207.26	$207.26	$207.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.54 / $222.84 / $222.84	Facility		$140.54	$222.84	$222.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.54 / $222.84 / $222.84	Professional		$140.54	$222.84	$222.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.56 / $212.23 / $222.84	Facility		$104.56	$212.23	$222.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $167.26 / $170.97 / $223.01	Professional		$167.26	$170.97	$223.01
United Facility/Professional Professional Modifier Low / Median / High Price $84.56 / $93.57 / $107.11	Professional		$84.56	$93.57	$107.11