Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.53 / $341.18 / $559.30	Professional		$138.53	$341.18	$559.30
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 $230.30 / $253.33 / $561.54	Professional		$230.30	$253.33	$561.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $230.30 / $230.30 / $230.30	Facility		$230.30	$230.30	$230.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.90 / $246.79 / $629.72	Professional		$145.90	$246.79	$629.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $114.22 / $230.30 / $564.13	Facility		$114.22	$230.30	$564.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $194.78 / $349.70 / $723.94	Professional		$194.78	$349.70	$723.94
United Facility/Professional Professional Modifier Low / Median / High Price $482.04 / $600.20 / $673.91	Professional		$482.04	$600.20	$673.91