Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.28 / $217.00 / $1,542.75	Professional		$197.28	$217.00	$1,542.75
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 $332.31 / $365.54 / $372.79	Professional		$332.31	$365.54	$372.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $332.31 / $332.31 / $332.31	Facility		$332.31	$332.31	$332.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.63 / $316.87 / $388.19	Professional		$174.63	$316.87	$388.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.22 / $230.78 / $332.31	Facility		$165.22	$230.78	$332.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $221.60 / $332.43 / $466.20	Professional		$221.60	$332.43	$466.20
United Facility/Professional Facility Modifier Low / Median / High Price $292.92 / $292.92 / $3,200.82	Facility		$292.92	$292.92	$3,200.82
United Facility/Professional Professional Modifier Low / Median / High Price $228.84 / $374.64 / $428.16	Professional		$228.84	$374.64	$428.16