Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.74 / $237.53 / $1,249.53	Professional		$144.74	$237.53	$1,249.53
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 $240.82 / $240.82 / $372.79	Professional		$240.82	$240.82	$372.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $240.82 / $240.82 / $240.82	Facility		$240.82	$240.82	$240.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.70 / $268.88 / $381.21	Professional		$204.70	$268.88	$381.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $135.41 / $228.84 / $388.70	Facility		$135.41	$228.84	$388.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $203.94 / $283.00 / $444.56	Professional		$203.94	$283.00	$444.56
United Facility/Professional Professional Modifier Low / Median / High Price $346.33 / $388.70 / $426.24	Professional		$346.33	$388.70	$426.24