Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $434.97 / $469.82 / $2,348.00	Professional		$434.97	$469.82	$2,348.00
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 $871.25 / $871.25 / $871.25	Professional		$871.25	$871.25	$871.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $871.25 / $871.25 / $871.25	Facility		$871.25	$871.25	$871.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $415.78 / $818.29 / $871.25	Professional		$415.78	$818.29	$871.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $427.03 / $587.16 / $871.25	Facility		$427.03	$587.16	$871.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $535.72 / $827.71 / $1,159.20	Professional		$535.72	$827.71	$1,159.20
United Facility/Professional Professional Modifier Low / Median / High Price $700.49 / $814.33 / $931.69	Professional		$700.49	$814.33	$931.69