Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $479.05 / $639.32 / $2,188.01	Professional		$479.05	$639.32	$2,188.01
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 $732.44 / $732.44 / $732.44	Professional		$732.44	$732.44	$732.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $732.44 / $732.44 / $732.44	Facility		$732.44	$732.44	$732.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.94 / $680.36 / $732.44	Professional		$338.94	$680.36	$732.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $363.77 / $454.71 / $724.21	Facility		$363.77	$454.71	$724.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $433.95 / $695.82 / $943.25	Professional		$433.95	$695.82	$943.25
United Facility/Professional Professional Modifier Low / Median / High Price $413.34 / $668.64 / $768.23	Professional		$413.34	$668.64	$768.23