Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $647.66 / $856.46 / $3,171.41	Professional		$647.66	$856.46	$3,171.41
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 $972.20 / $972.20 / $972.20	Professional		$972.20	$972.20	$972.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $972.20 / $972.20 / $972.20	Facility		$972.20	$972.20	$972.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.96 / $972.20 / $1,008.02	Professional		$501.96	$972.20	$1,008.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $481.94 / $662.67 / $972.20	Facility		$481.94	$662.67	$972.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $585.54 / $972.20 / $1,267.00	Professional		$585.54	$972.20	$1,267.00
United Facility/Professional Professional Modifier Low / Median / High Price $819.21 / $991.22 / $1,115.51	Professional		$819.21	$991.22	$1,115.51