Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $505.37 / $555.91 / $2,335.00	Professional		$505.37	$555.91	$2,335.00
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 $951.17 / $951.17 / $951.17	Professional		$951.17	$951.17	$951.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $951.17 / $951.17 / $951.17	Facility		$951.17	$951.17	$951.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $459.45 / $909.08 / $951.17	Professional		$459.45	$909.08	$951.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $471.68 / $628.91 / $951.17	Facility		$471.68	$628.91	$951.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $559.66 / $909.08 / $1,227.19	Professional		$559.66	$909.08	$1,227.19
United Facility/Professional Professional Modifier Low / Median / High Price $764.76 / $895.43 / $1,023.35	Professional		$764.76	$895.43	$1,023.35