Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.88 / $274.52 / $573.71	Professional		$158.88	$274.52	$573.71
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 $308.83 / $363.33 / $560.50	Professional		$308.83	$363.33	$560.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.33 / $363.33 / $363.33	Facility		$363.33	$363.33	$363.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $308.83 / $394.01 / $574.42	Professional		$308.83	$394.01	$574.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $207.97 / $341.62 / $546.59	Facility		$207.97	$341.62	$546.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $308.83 / $431.37 / $672.98	Professional		$308.83	$431.37	$672.98
United Facility/Professional Professional Modifier Low / Median / High Price $496.86 / $588.12 / $642.66	Professional		$496.86	$588.12	$642.66