Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $369.00 / $402.20 / $1,643.00	Professional		$369.00	$402.20	$1,643.00
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 $678.81 / $678.81 / $678.81	Professional		$678.81	$678.81	$678.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $678.81 / $678.81 / $678.81	Facility		$678.81	$678.81	$678.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $359.21 / $678.81 / $710.62	Professional		$359.21	$678.81	$710.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $336.20 / $420.25 / $799.48	Facility		$336.20	$420.25	$799.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $408.90 / $678.81 / $884.80	Professional		$408.90	$678.81	$884.80
United Facility/Professional Professional Modifier Low / Median / High Price $587.01 / $698.25 / $784.00	Professional		$587.01	$698.25	$784.00