Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.22 / $573.74 / $4,834.80	Professional		$221.22	$573.74	$4,834.80
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 $400.13 / $440.15 / $618.34	Professional		$400.13	$440.15	$618.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.13 / $400.13 / $400.13	Facility		$400.13	$400.13	$400.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $249.54 / $400.13 / $665.23	Professional		$249.54	$400.13	$665.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $197.22 / $325.63 / $517.79	Facility		$197.22	$325.63	$517.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $323.08 / $469.39 / $778.25	Professional		$323.08	$469.39	$778.25
United Facility/Professional Professional Modifier Low / Median / High Price $558.54 / $633.91 / $717.45	Professional		$558.54	$633.91	$717.45