Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.81 / $397.68 / $2,589.85	Professional		$241.81	$397.68	$2,589.85
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 $475.85 / $475.85 / $795.54	Professional		$475.85	$475.85	$795.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $475.85 / $475.85 / $475.85	Facility		$475.85	$475.85	$475.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $404.47 / $504.01 / $795.54	Professional		$404.47	$504.01	$795.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $262.85 / $469.52 / $775.90	Facility		$262.85	$469.52	$775.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $401.93 / $572.16 / $961.44	Professional		$401.93	$572.16	$961.44
United Facility/Professional Professional Modifier Low / Median / High Price $664.28 / $821.28 / $894.72	Professional		$664.28	$821.28	$894.72