Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.25 / $415.34 / $415.34	Professional		$128.25	$415.34	$415.34
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 $235.99 / $235.99 / $235.99	Professional		$235.99	$235.99	$235.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.55 / $253.73 / $253.73	Facility		$152.55	$253.73	$253.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.55 / $253.73 / $253.73	Professional		$152.55	$253.73	$253.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $119.06 / $241.65 / $253.73	Facility		$119.06	$241.65	$253.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $152.55 / $190.44 / $253.92	Professional		$152.55	$190.44	$253.92
United Facility/Professional Professional Modifier Low / Median / High Price $96.29 / $106.53 / $163.03	Professional		$96.29	$106.53	$163.03