Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.68 / $463.45 / $1,611.58	Professional		$312.68	$463.45	$1,611.58
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 $491.62 / $540.79 / $729.81	Professional		$491.62	$540.79	$729.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $491.62 / $491.62 / $491.62	Facility		$491.62	$491.62	$491.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.72 / $491.62 / $777.89	Professional		$311.72	$491.62	$777.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $245.82 / $387.02 / $611.82	Facility		$245.82	$387.02	$611.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $375.71 / $564.82 / $906.13	Professional		$375.71	$564.82	$906.13
United Facility/Professional Professional Modifier Low / Median / High Price $619.46 / $738.08 / $843.52	Professional		$619.46	$738.08	$843.52