Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $488.04 / $648.30 / $2,401.41	Professional		$488.04	$648.30	$2,401.41
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 $738.75 / $738.75 / $738.75	Professional		$738.75	$738.75	$738.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $738.75 / $738.75 / $738.75	Facility		$738.75	$738.75	$738.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $379.20 / $738.75 / $751.36	Professional		$379.20	$738.75	$751.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $365.50 / $502.57 / $738.75	Facility		$365.50	$502.57	$738.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $441.90 / $736.55 / $956.20	Professional		$441.90	$736.55	$956.20
United Facility/Professional Professional Modifier Low / Median / High Price $618.52 / $743.28 / $842.24	Professional		$618.52	$743.28	$842.24