Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.31 / $195.31 / $1,040.33	Professional		$195.31	$195.31	$1,040.33
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 $214.16 / $353.45 / $353.45	Facility		$214.16	$353.45	$353.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.16 / $353.45 / $353.45	Professional		$214.16	$353.45	$353.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $214.16 / $336.62 / $353.45	Facility		$214.16	$336.62	$353.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $214.16 / $265.27 / $387.11	Professional		$214.16	$265.27	$387.11
United Facility/Professional Facility Modifier Low / Median / High Price $165.61 / $165.61 / $194.53	Facility		$165.61	$165.61	$194.53
United Facility/Professional Professional Modifier Low / Median / High Price $146.49 / $155.62 / $246.82	Professional		$146.49	$155.62	$246.82