Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.25 / $592.21 / $2,909.37	Professional		$467.25	$592.21	$2,909.37
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 $900.70 / $900.70 / $900.70	Professional		$900.70	$900.70	$900.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.70 / $900.70 / $900.70	Facility		$900.70	$900.70	$900.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $463.92 / $900.70 / $901.52	Professional		$463.92	$900.70	$901.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $447.68 / $559.60 / $900.70	Facility		$447.68	$559.60	$900.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $537.33 / $895.61 / $1,162.70	Professional		$537.33	$895.61	$1,162.70
United Facility/Professional Professional Modifier Low / Median / High Price $724.17 / $889.27 / $1,016.31	Professional		$724.17	$889.27	$1,016.31