Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $503.24 / $549.00 / $2,284.00	Professional		$503.24	$549.00	$2,284.00
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 $963.79 / $963.79 / $963.79	Professional		$963.79	$963.79	$963.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $963.79 / $963.79 / $963.79	Facility		$963.79	$963.79	$963.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $498.88 / $963.79 / $995.22	Professional		$498.88	$963.79	$995.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $478.42 / $657.82 / $963.79	Facility		$478.42	$657.82	$963.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $577.45 / $962.47 / $1,249.50	Professional		$577.45	$962.47	$1,249.50
United Facility/Professional Professional Modifier Low / Median / High Price $809.80 / $982.10 / $1,127.95	Professional		$809.80	$982.10	$1,127.95