Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $409.00 / $556.72 / $2,521.42	Professional		$409.00	$556.72	$2,521.42
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 $775.03 / $775.03 / $844.96	Professional		$775.03	$775.03	$844.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $775.03 / $775.03 / $775.03	Facility		$775.03	$775.03	$775.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.04 / $697.53 / $868.34	Professional		$402.04	$697.53	$868.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $383.30 / $522.46 / $775.03	Facility		$383.30	$522.46	$775.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $502.97 / $773.75 / $1,081.58	Professional		$502.97	$773.75	$1,081.58
United Facility/Professional Professional Modifier Low / Median / High Price $704.99 / $841.60 / $980.09	Professional		$704.99	$841.60	$980.09