Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $169.87 / $697.00	Professional		$18.00	$169.87	$697.00
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 $312.60 / $312.60 / $312.60	Professional		$312.60	$312.60	$312.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.75 / $336.11 / $336.11	Facility		$176.75	$336.11	$336.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.75 / $336.11 / $336.11	Professional		$176.75	$336.11	$336.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $157.69 / $320.10 / $336.11	Facility		$157.69	$320.10	$336.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $176.75 / $252.26 / $336.35	Professional		$176.75	$252.26	$336.35
United Facility/Professional Professional Modifier Low / Median / High Price $127.54 / $141.11 / $235.19	Professional		$127.54	$141.11	$235.19