Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $311.50 / $374.95 / $1,837.22	Professional		$311.50	$374.95	$1,837.22
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 $577.85 / $577.85 / $630.96	Professional		$577.85	$577.85	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $577.85 / $577.85 / $577.85	Facility		$577.85	$577.85	$577.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.64 / $520.07 / $630.96	Professional		$293.64	$520.07	$630.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $286.31 / $391.20 / $577.85	Facility		$286.31	$391.20	$577.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $370.13 / $569.40 / $799.72	Professional		$370.13	$569.40	$799.72
United Facility/Professional Professional Modifier Low / Median / High Price $512.29 / $610.40 / $697.60	Professional		$512.29	$610.40	$697.60