Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.50 / $485.61 / $3,344.40	Professional		$402.50	$485.61	$3,344.40
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 $779.76 / $779.76 / $779.76	Professional		$779.76	$779.76	$779.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $779.76 / $779.76 / $779.76	Facility		$779.76	$779.76	$779.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $399.43 / $779.76 / $796.76	Professional		$399.43	$779.76	$796.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $387.84 / $533.28 / $779.76	Facility		$387.84	$533.28	$779.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $466.16 / $776.99 / $1,009.25	Professional		$466.16	$776.99	$1,009.25
United Facility/Professional Professional Modifier Low / Median / High Price $618.12 / $775.68 / $881.27	Professional		$618.12	$775.68	$881.27