Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.29 / $295.57 / $539.22	Professional		$222.29	$295.57	$539.22
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 $353.52 / $415.91 / $594.15	Professional		$353.52	$415.91	$594.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $415.91 / $415.91 / $415.91	Facility		$415.91	$415.91	$415.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.23 / $384.54 / $580.91	Professional		$257.23	$384.54	$580.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $207.23 / $292.11 / $415.91	Facility		$207.23	$292.11	$415.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $296.64 / $480.70 / $707.40	Professional		$296.64	$480.70	$707.40
United Facility/Professional Professional Modifier Low / Median / High Price $415.81 / $575.92 / $655.99	Professional		$415.81	$575.92	$655.99