Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $643.03 / $682.46 / $3,094.00	Professional		$643.03	$682.46	$3,094.00
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 $1,172.01 / $1,172.01 / $1,172.01	Professional		$1,172.01	$1,172.01	$1,172.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,172.01 / $1,172.01 / $1,172.01	Facility		$1,172.01	$1,172.01	$1,172.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $623.04 / $1,172.01 / $1,239.08	Professional		$623.04	$1,172.01	$1,239.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $579.21 / $724.01 / $1,373.16	Facility		$579.21	$724.01	$1,373.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $712.67 / $1,172.01 / $1,542.10	Professional		$712.67	$1,172.01	$1,542.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,028.68 / $1,218.67 / $1,368.32	Professional		$1,028.68	$1,218.67	$1,368.32