Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $563.86 / $614.35 / $1,083.91	Professional		$563.86	$614.35	$1,083.91
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 $1,075.79 / $1,075.79 / $1,075.79	Professional		$1,075.79	$1,075.79	$1,075.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,075.79 / $1,075.79 / $1,075.79	Facility		$1,075.79	$1,075.79	$1,075.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $559.97 / $1,075.79 / $1,125.01	Professional		$559.97	$1,075.79	$1,125.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $533.80 / $733.99 / $1,075.79	Facility		$533.80	$733.99	$1,075.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $647.97 / $1,075.79 / $1,402.10	Professional		$647.97	$1,075.79	$1,402.10
United Facility/Professional Facility Modifier Low / Median / High Price $845.68 / $845.68 / $14,287.46	Facility		$845.68	$845.68	$14,287.46
United Facility/Professional Professional Modifier Low / Median / High Price $864.95 / $1,104.09 / $1,239.69	Professional		$864.95	$1,104.09	$1,239.69