Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.76 / $82.50 / $415.60	Professional		$56.76	$82.50	$415.60
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 $145.71 / $145.71 / $145.71	Professional		$145.71	$145.71	$145.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.71 / $156.66 / $156.66	Facility		$83.71	$156.66	$156.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.71 / $156.66 / $156.66	Professional		$83.71	$156.66	$156.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.71 / $149.21 / $156.66	Facility		$83.71	$149.21	$156.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.71 / $117.59 / $156.78	Professional		$83.71	$117.59	$156.78
United Facility/Professional Facility Modifier Low / Median / High Price $76.31 / $76.31 / $82.40	Facility		$76.31	$76.31	$82.40
United Facility/Professional Professional Modifier Low / Median / High Price $62.05 / $65.92 / $104.55	Professional		$62.05	$65.92	$104.55