Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $500.93 / $532.12 / $2,609.92	Professional		$500.93	$532.12	$2,609.92
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 $803.42 / $803.42 / $803.42	Professional		$803.42	$803.42	$803.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $803.42 / $803.42 / $803.42	Facility		$803.42	$803.42	$803.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $412.04 / $803.42 / $824.69	Professional		$412.04	$803.42	$824.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $398.57 / $548.03 / $803.42	Facility		$398.57	$548.03	$803.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $482.02 / $803.41 / $1,043.00	Professional		$482.02	$803.41	$1,043.00
United Facility/Professional Professional Modifier Low / Median / High Price $672.10 / $815.10 / $1,264.40	Professional		$672.10	$815.10	$1,264.40