Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.16 / $261.62 / $462.82	Professional		$213.16	$261.62	$462.82
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 $402.24 / $402.24 / $438.52	Professional		$402.24	$402.24	$438.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $402.24 / $402.24 / $402.24	Facility		$402.24	$402.24	$402.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.75 / $362.02 / $438.52	Professional		$201.75	$362.02	$438.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $201.07 / $265.89 / $402.24	Facility		$201.07	$265.89	$402.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $255.16 / $392.54 / $554.11	Professional		$255.16	$392.54	$554.11
United Facility/Professional Professional Modifier Low / Median / High Price $352.58 / $421.11 / $646.71	Professional		$352.58	$421.11	$646.71