Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.40 / $371.40 / $371.40	Professional		$371.40	$371.40	$371.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,125.20 / $77,999.99 / $94,999.99	Facility		$1,125.20	$77,999.99	$94,999.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $468.29 / $468.29 / $468.29	Facility		$468.29	$468.29	$468.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $468.29 / $468.29 / $468.29	Professional		$468.29	$468.29	$468.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $468.29 / $468.29 / $468.29	Facility		$468.29	$468.29	$468.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $290.66 / $290.66 / $468.29	Professional		$290.66	$290.66	$468.29
United Facility/Professional Professional Modifier Low / Median / High Price $135.63 / $135.63 / $322.95	Professional		$135.63	$135.63	$322.95