Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $410.52 / $436.18 / $822.72	Professional		$410.52	$436.18	$822.72
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 $635.98 / $748.21 / $748.21	Professional		$635.98	$748.21	$748.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $748.21 / $748.21 / $748.21	Facility		$748.21	$748.21	$748.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $396.31 / $748.21 / $786.28	Professional		$396.31	$748.21	$786.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $370.14 / $462.68 / $874.12	Facility		$370.14	$462.68	$874.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $452.58 / $748.21 / $979.30	Professional		$452.58	$748.21	$979.30
United Facility/Professional Professional Modifier Low / Median / High Price $648.72 / $775.90 / $868.49	Professional		$648.72	$775.90	$868.49