Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $810.00 / $810.00 / $1,668.88	Facility		$810.00	$810.00	$1,668.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $240.05 / $629.94	Professional		$56.10	$240.05	$629.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47,000.00 / $81,499.99 / $94,999.99	Facility		$47,000.00	$81,499.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.86 / $97.75 / $344.40	Professional		$88.86	$97.75	$344.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.86 / $88.86 / $88.86	Facility		$88.86	$88.86	$88.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.06 / $99.65 / $390.52	Professional		$59.06	$99.65	$390.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.19 / $110.15 / $350.25	Facility		$44.19	$110.15	$350.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $76.54 / $223.22 / $463.38	Professional		$76.54	$223.22	$463.38
United Facility/Professional Professional Modifier Low / Median / High Price $329.97 / $387.45 / $432.65	Professional		$329.97	$387.45	$432.65