Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.45 / $106.85 / $425.00	Professional		$73.45	$106.85	$425.00
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 $188.59 / $188.59 / $188.59	Professional		$188.59	$188.59	$188.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.81 / $202.78 / $202.78	Facility		$120.81	$202.78	$202.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.81 / $202.78 / $202.78	Professional		$120.81	$202.78	$202.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.81 / $193.12 / $202.78	Facility		$120.81	$193.12	$202.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $120.81 / $152.19 / $202.92	Professional		$120.81	$152.19	$202.92
United Facility/Professional Professional Modifier Low / Median / High Price $80.14 / $85.13 / $135.03	Professional		$80.14	$85.13	$135.03