Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.65 / $285.47 / $742.87	Professional		$176.65	$285.47	$742.87
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 $283.80 / $333.88 / $491.62	Professional		$283.80	$333.88	$491.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $333.88 / $333.88 / $333.88	Facility		$333.88	$333.88	$333.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.80 / $359.09 / $517.40	Professional		$283.80	$359.09	$517.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $188.24 / $302.13 / $510.25	Facility		$188.24	$302.13	$510.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $283.80 / $392.78 / $586.04	Professional		$283.80	$392.78	$586.04
United Facility/Professional Professional Modifier Low / Median / High Price $455.30 / $517.94 / $565.98	Professional		$455.30	$517.94	$565.98