Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.10 / $335.22 / $1,491.00	Professional		$302.10	$335.22	$1,491.00
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 $548.94 / $548.94 / $612.55	Professional		$548.94	$548.94	$612.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $548.94 / $548.94 / $548.94	Facility		$548.94	$548.94	$548.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $287.99 / $494.05 / $612.55	Professional		$287.99	$494.05	$612.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $272.57 / $374.78 / $548.94	Facility		$272.57	$374.78	$548.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $354.36 / $548.94 / $764.21	Professional		$354.36	$548.94	$764.21
United Facility/Professional Facility Modifier Low / Median / High Price $478.25 / $478.25 / $3,200.82	Facility		$478.25	$478.25	$3,200.82
United Facility/Professional Professional Modifier Low / Median / High Price $366.39 / $596.79 / $684.16	Professional		$366.39	$596.79	$684.16