Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $491.91 / $525.46 / $3,034.71	Professional		$491.91	$525.46	$3,034.71
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 $928.04 / $928.04 / $928.04	Professional		$928.04	$928.04	$928.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $928.04 / $928.04 / $928.04	Facility		$928.04	$928.04	$928.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $480.57 / $928.04 / $960.88	Professional		$480.57	$928.04	$960.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $461.98 / $626.15 / $928.04	Facility		$461.98	$626.15	$928.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $555.77 / $926.35 / $1,202.59	Professional		$555.77	$926.35	$1,202.59
United Facility/Professional Professional Modifier Low / Median / High Price $777.84 / $939.93 / $1,059.19	Professional		$777.84	$939.93	$1,059.19