Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.50 / $336.82 / $654.52	Professional		$243.50	$336.82	$654.52
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 $456.92 / $456.92 / $642.00	Professional		$456.92	$456.92	$642.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $456.92 / $456.92 / $456.92	Facility		$456.92	$456.92	$456.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $388.38 / $492.95 / $673.37	Professional		$388.38	$492.95	$673.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $257.52 / $394.40 / $672.10	Facility		$257.52	$394.40	$672.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $381.47 / $543.32 / $766.51	Professional		$381.47	$543.32	$766.51
United Facility/Professional Professional Modifier Low / Median / High Price $599.73 / $676.27 / $739.00	Professional		$599.73	$676.27	$739.00