Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.29 / $108.29 / $417.00	Professional		$108.29	$108.29	$417.00
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 $196.03 / $196.03 / $196.03	Professional		$196.03	$196.03	$196.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.67 / $210.77 / $210.77	Facility		$112.67	$210.77	$210.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.67 / $171.40 / $210.77	Professional		$112.67	$171.40	$210.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.53 / $200.73 / $210.77	Facility		$100.53	$200.73	$210.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $112.67 / $158.19 / $210.92	Professional		$112.67	$158.19	$210.92
United Facility/Professional Professional Modifier Low / Median / High Price $81.30 / $89.95 / $142.66	Professional		$81.30	$89.95	$142.66