Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.54 / $125.54 / $527.00	Professional		$125.54	$125.54	$527.00
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 $230.98 / $230.98 / $230.98	Professional		$230.98	$230.98	$230.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.59 / $248.35 / $248.35	Facility		$130.59	$248.35	$248.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.59 / $248.35 / $248.35	Professional		$130.59	$248.35	$248.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $116.53 / $236.52 / $248.35	Facility		$116.53	$236.52	$248.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $130.59 / $186.40 / $248.53	Professional		$130.59	$186.40	$248.53
United Facility/Professional Professional Modifier Low / Median / High Price $94.24 / $104.27 / $165.37	Professional		$94.24	$104.27	$165.37