Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $476.56 / $520.01 / $930.61	Professional		$476.56	$520.01	$930.61
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 $919.62 / $919.62 / $919.62	Professional		$919.62	$919.62	$919.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $919.62 / $919.62 / $919.62	Facility		$919.62	$919.62	$919.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $473.77 / $919.62 / $953.90	Professional		$473.77	$919.62	$953.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $455.86 / $626.80 / $919.62	Facility		$455.86	$626.80	$919.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $552.54 / $919.62 / $1,195.59	Professional		$552.54	$919.62	$1,195.59
United Facility/Professional Professional Modifier Low / Median / High Price $772.67 / $926.82 / $1,073.16	Professional		$772.67	$926.82	$1,073.16