Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.28 / $243.47 / $417.39	Professional		$221.28	$243.47	$417.39
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 $426.42 / $426.42 / $471.12	Professional		$426.42	$426.42	$471.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.42 / $426.42 / $426.42	Facility		$426.42	$426.42	$426.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.16 / $383.78 / $459.58	Professional		$209.16	$383.78	$459.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $212.42 / $275.63 / $426.42	Facility		$212.42	$275.63	$426.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $271.29 / $417.34 / $587.40	Professional		$271.29	$417.34	$587.40
United Facility/Professional Professional Modifier Low / Median / High Price $375.07 / $446.89 / $510.73	Professional		$375.07	$446.89	$510.73