Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $487.89 / $487.89 / $1,694.69	Facility		$487.89	$487.89	$1,694.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.40 / $147.28 / $413.06	Professional		$84.40	$147.28	$413.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47,000.00 / $77,999.99 / $94,999.99	Facility		$47,000.00	$77,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.12 / $167.20 / $396.45	Professional		$142.12	$167.20	$396.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $167.20 / $167.20 / $167.20	Facility		$167.20	$167.20	$167.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.12 / $172.34 / $396.45	Professional		$142.12	$172.34	$396.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $94.29 / $230.18 / $381.20	Facility		$94.29	$230.18	$381.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $139.18 / $243.38 / $485.12	Professional		$139.18	$243.38	$485.12
United Facility/Professional Professional Modifier Low / Median / High Price $269.25 / $347.43 / $385.02	Professional		$269.25	$347.43	$385.02