Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $477.53 / $523.77 / $2,560.37	Professional		$477.53	$523.77	$2,560.37
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 $793.96 / $793.96 / $793.96	Professional		$793.96	$793.96	$793.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $793.96 / $793.96 / $793.96	Facility		$793.96	$793.96	$793.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $399.19 / $793.96 / $809.56	Professional		$399.19	$793.96	$809.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $394.45 / $507.54 / $793.96	Facility		$394.45	$507.54	$793.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $474.57 / $791.01 / $1,026.90	Professional		$474.57	$791.01	$1,026.90
United Facility/Professional Professional Modifier Low / Median / High Price $658.47 / $784.57 / $887.96	Professional		$658.47	$784.57	$887.96