Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $614.07 / $813.13 / $3,012.55	Professional		$614.07	$813.13	$3,012.55
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 $924.88 / $924.88 / $924.88	Professional		$924.88	$924.88	$924.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $924.88 / $924.88 / $924.88	Facility		$924.88	$924.88	$924.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $473.16 / $924.88 / $957.39	Professional		$473.16	$924.88	$957.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $458.45 / $630.37 / $924.88	Facility		$458.45	$630.37	$924.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $555.45 / $924.88 / $1,201.90	Professional		$555.45	$924.88	$1,201.90
United Facility/Professional Professional Modifier Low / Median / High Price $777.37 / $931.20 / $1,076.46	Professional		$777.37	$931.20	$1,076.46