Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.74 / $548.70 / $2,057.34	Professional		$255.74	$548.70	$2,057.34
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 $379.10 / $379.10 / $602.04	Professional		$379.10	$379.10	$602.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $379.10 / $379.10 / $379.10	Facility		$379.10	$379.10	$379.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.68 / $391.86 / $646.58	Professional		$220.68	$391.86	$646.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $193.36 / $317.31 / $502.35	Facility		$193.36	$317.31	$502.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $274.08 / $457.03 / $750.75	Professional		$274.08	$457.03	$750.75
United Facility/Professional Professional Modifier Low / Median / High Price $513.24 / $615.60 / $698.88	Professional		$513.24	$615.60	$698.88