Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $480.30 / $579.19 / $1,731.80	Professional		$480.30	$579.19	$1,731.80
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 $538.95 / $538.95 / $538.95	Professional		$538.95	$538.95	$538.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $538.95 / $538.95 / $538.95	Facility		$538.95	$538.95	$538.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $525.79 / $538.95 / $1,030.14	Professional		$525.79	$538.95	$1,030.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $265.45 / $364.99 / $903.89	Facility		$265.45	$364.99	$903.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $330.62 / $538.95 / $756.82	Professional		$330.62	$538.95	$756.82
United Facility/Professional Professional Modifier Low / Median / High Price $523.64 / $604.41 / $955.85	Professional		$523.64	$604.41	$955.85