Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.40 / $264.56 / $508.36	Professional		$207.40	$264.56	$508.36
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 $382.26 / $382.26 / $505.82	Professional		$382.26	$382.26	$505.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $382.26 / $382.26 / $382.26	Facility		$382.26	$382.26	$382.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.66 / $376.99 / $505.82	Professional		$229.66	$376.99	$505.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $188.39 / $293.48 / $419.78	Facility		$188.39	$293.48	$419.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $278.11 / $413.25 / $602.94	Professional		$278.11	$413.25	$602.94
United Facility/Professional Professional Modifier Low / Median / High Price $412.19 / $491.13 / $563.64	Professional		$412.19	$491.13	$563.64