Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $387.13 / $387.13 / $836.49	Facility		$387.13	$387.13	$836.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.62 / $287.79 / $1,335.00	Professional		$261.62	$287.79	$1,335.00
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 $440.26 / $440.26 / $440.26	Professional		$440.26	$440.26	$440.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $293.31 / $473.37 / $473.37	Facility		$293.31	$473.37	$473.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.31 / $473.37 / $473.37	Professional		$293.31	$473.37	$473.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $242.86 / $450.83 / $473.37	Facility		$242.86	$450.83	$473.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $355.28 / $363.16 / $500.05	Professional		$355.28	$363.16	$500.05
United Facility/Professional Professional Modifier Low / Median / High Price $196.42 / $217.32 / $248.77	Professional		$196.42	$217.32	$248.77