Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $528.17 / $703.80 / $845.22	Facility		$528.17	$703.80	$845.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $624.66 / $64,999.99 / $94,999.99	Facility		$624.66	$64,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $624.66 / $624.66 / $624.66	Professional		$624.66	$624.66	$624.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $675.95 / $675.95 / $675.95	Facility		$675.95	$675.95	$675.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $675.95 / $675.95 / $675.95	Professional		$675.95	$675.95	$675.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $675.95 / $675.95 / $675.95	Facility		$675.95	$675.95	$675.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $419.55 / $419.55 / $675.95	Professional		$419.55	$419.55	$675.95
United Facility/Professional Professional Modifier Low / Median / High Price $195.79 / $195.79 / $466.17	Professional		$195.79	$195.79	$466.17