Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.34 / $187.34 / $813.00	Professional		$187.34	$187.34	$813.00
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 $328.73 / $328.73 / $328.73	Professional		$328.73	$328.73	$328.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.92 / $353.45 / $353.45	Facility		$194.92	$353.45	$353.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.92 / $287.43 / $353.45	Professional		$194.92	$287.43	$353.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $173.91 / $336.62 / $353.45	Facility		$173.91	$336.62	$353.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $194.92 / $265.27 / $368.45	Professional		$194.92	$265.27	$368.45
United Facility/Professional Professional Modifier Low / Median / High Price $140.65 / $155.62 / $238.14	Professional		$140.65	$155.62	$238.14