Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $777.83 / $777.83 / $777.83	Professional		$777.83	$777.83	$777.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,356.48 / $68,999.99 / $94,999.99	Facility		$2,356.48	$68,999.99	$94,999.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $980.74 / $980.74 / $980.74	Facility		$980.74	$980.74	$980.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $980.74 / $980.74 / $980.74	Professional		$980.74	$980.74	$980.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $980.74 / $980.74 / $980.74	Facility		$980.74	$980.74	$980.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $608.73 / $608.73 / $980.74	Professional		$608.73	$608.73	$980.74
United Facility/Professional Professional Modifier Low / Median / High Price $284.08 / $284.08 / $676.37	Professional		$284.08	$284.08	$676.37