Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.91 / $652.72 / $2,414.69	Professional		$263.91	$652.72	$2,414.69
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 $407.50 / $448.24 / $614.66	Professional		$407.50	$448.24	$614.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.50 / $407.50 / $407.50	Facility		$407.50	$407.50	$407.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.37 / $416.90 / $738.56	Professional		$279.37	$416.90	$738.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $201.42 / $344.38 / $567.10	Facility		$201.42	$344.38	$567.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $343.27 / $486.55 / $793.37	Professional		$343.27	$486.55	$793.37
United Facility/Professional Professional Modifier Low / Median / High Price $603.95 / $719.60 / $822.40	Professional		$603.95	$719.60	$822.40