Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.00 / $890.87 / $991.27	Facility		$392.00	$890.87	$991.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $539.22 / $1,019.20	Professional		$416.78	$539.22	$1,019.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $558.49 / $558.49 / $82,999.99	Facility		$558.49	$558.49	$82,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $558.49 / $558.49 / $558.49	Professional		$558.49	$558.49	$558.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $604.33 / $604.33 / $604.33	Facility		$604.33	$604.33	$604.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $604.33 / $604.33 / $604.33	Professional		$604.33	$604.33	$604.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $604.33 / $604.33 / $604.33	Facility		$604.33	$604.33	$604.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $375.10 / $375.10 / $604.33	Professional		$375.10	$375.10	$604.33
United Facility/Professional Professional Modifier Low / Median / High Price $173.69 / $175.07 / $416.83	Professional		$173.69	$175.07	$416.83