Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.91 / $250.17 / $482.31	Professional		$141.91	$250.17	$482.31
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 $279.33 / $328.63 / $468.49	Professional		$279.33	$328.63	$468.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $328.63 / $328.63 / $328.63	Facility		$328.63	$328.63	$328.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.33 / $353.86 / $494.12	Professional		$279.33	$353.86	$494.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $185.28 / $287.27 / $492.70	Facility		$185.28	$287.27	$492.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $279.33 / $386.46 / $558.37	Professional		$279.33	$386.46	$558.37
United Facility/Professional Facility Modifier Low / Median / High Price $362.46 / $362.46 / $3,240.48	Facility		$362.46	$362.46	$3,240.48
United Facility/Professional Professional Modifier Low / Median / High Price $439.65 / $494.15 / $539.99	Professional		$439.65	$494.15	$539.99