Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $628.67 / $831.49 / $3,081.77	Professional		$628.67	$831.49	$3,081.77
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 $945.39 / $945.39 / $945.39	Professional		$945.39	$945.39	$945.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $945.39 / $945.39 / $945.39	Facility		$945.39	$945.39	$945.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $488.26 / $945.39 / $982.42	Professional		$488.26	$945.39	$982.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $468.26 / $643.85 / $945.39	Facility		$468.26	$643.85	$945.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $568.39 / $945.39 / $1,229.90	Professional		$568.39	$945.39	$1,229.90
United Facility/Professional Professional Modifier Low / Median / High Price $795.71 / $948.08 / $1,081.73	Professional		$795.71	$948.08	$1,081.73