Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $396.77 / $431.73 / $480.09	Professional		$396.77	$431.73	$480.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64,999.99 / $77,999.99 / $94,999.99	Facility		$64,999.99	$77,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $788.17 / $788.17 / $788.17	Professional		$788.17	$788.17	$788.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.08 / $776.08 / $776.08	Facility		$776.08	$776.08	$776.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $503.63 / $776.08 / $878.71	Professional		$503.63	$776.08	$878.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $378.01 / $450.58 / $776.08	Facility		$378.01	$450.58	$776.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $409.83 / $666.37 / $808.98	Professional		$409.83	$666.37	$808.98
United Facility/Professional Professional Modifier Low / Median / High Price $614.47 / $703.28 / $762.88	Professional		$614.47	$703.28	$762.88