Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $622.14 / $622.14 / $622.14	Professional		$622.14	$622.14	$622.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $724.93 / $68,999.99 / $94,999.99	Facility		$724.93	$68,999.99	$94,999.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $784.44 / $784.44 / $784.44	Facility		$784.44	$784.44	$784.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $621.57 / $776.96 / $784.44	Professional		$621.57	$776.96	$784.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $784.44 / $784.44 / $784.44	Facility		$784.44	$784.44	$784.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $486.89 / $486.89 / $784.44	Professional		$486.89	$486.89	$784.44
United Facility/Professional Professional Modifier Low / Median / High Price $227.22 / $227.22 / $540.99	Professional		$227.22	$227.22	$540.99