Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.28 / $277.42 / $795.98	Professional		$250.28	$277.42	$795.98
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 $469.01 / $469.01 / $509.50	Professional		$469.01	$469.01	$509.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $469.01 / $469.01 / $469.01	Facility		$469.01	$469.01	$469.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.36 / $422.11 / $509.50	Professional		$236.36	$422.11	$509.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $233.36 / $312.95 / $469.01	Facility		$233.36	$312.95	$469.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $301.08 / $463.17 / $648.79	Professional		$301.08	$463.17	$648.79
United Facility/Professional Professional Modifier Low / Median / High Price $413.60 / $492.80 / $563.20	Professional		$413.60	$492.80	$563.20