Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $453.12 / $483.06 / $2,168.00	Professional		$453.12	$483.06	$2,168.00
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 $843.91 / $843.91 / $843.91	Professional		$843.91	$843.91	$843.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $843.91 / $843.91 / $843.91	Facility		$843.91	$843.91	$843.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $439.28 / $843.91 / $877.66	Professional		$439.28	$843.91	$877.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $419.78 / $541.48 / $843.91	Facility		$419.78	$541.48	$843.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $504.98 / $841.69 / $1,093.13	Professional		$504.98	$841.69	$1,093.13
United Facility/Professional Professional Modifier Low / Median / High Price $686.46 / $860.14 / $968.33	Professional		$686.46	$860.14	$968.33