Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.68 / $371.26 / $1,331.70	Professional		$166.68	$371.26	$1,331.70
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 $257.64 / $257.64 / $403.29	Professional		$257.64	$257.64	$403.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.64 / $257.64 / $257.64	Facility		$257.64	$257.64	$257.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.83 / $257.64 / $403.29	Professional		$148.83	$257.64	$403.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.08 / $213.25 / $301.43	Facility		$125.08	$213.25	$301.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $193.89 / $306.10 / $487.20	Professional		$193.89	$306.10	$487.20
United Facility/Professional Professional Modifier Low / Median / High Price $321.33 / $397.61 / $459.36	Professional		$321.33	$397.61	$459.36