Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.98 / $367.20 / $946.79	Professional		$167.98	$367.20	$946.79
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 $328.94 / $386.99 / $626.23	Professional		$328.94	$386.99	$626.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $386.99 / $386.99 / $386.99	Facility		$386.99	$386.99	$386.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.94 / $421.37 / $649.51	Professional		$328.94	$421.37	$649.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $221.19 / $381.06 / $662.35	Facility		$221.19	$381.06	$662.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $328.94 / $469.76 / $752.68	Professional		$328.94	$469.76	$752.68
United Facility/Professional Professional Modifier Low / Median / High Price $591.01 / $673.19 / $723.16	Professional		$591.01	$673.19	$723.16