Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.00 / $224.00 / $224.00	Facility		$224.00	$224.00	$224.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $258.50 / $594.54 / $1,003.45	Facility		$258.50	$594.54	$1,003.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.27 / $55.27 / $184.23	Professional		$55.27	$55.27	$184.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $261.08 / $555.25 / $2,742.34	Facility		$261.08	$555.25	$2,742.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $772.33 / $772.33 / $772.33	Professional		$772.33	$772.33	$772.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.66 / $555.25 / $2,742.34	Facility		$0.66	$555.25	$2,742.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $772.33 / $772.33 / $772.33	Professional		$772.33	$772.33	$772.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $343.13 / $343.13 / $463.23	Professional		$343.13	$343.13	$463.23