Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $642.71 / $874.16 / $3,338.49	Professional		$642.71	$874.16	$3,338.49
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 $983.77 / $983.77 / $983.77	Professional		$983.77	$983.77	$983.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $983.77 / $983.77 / $983.77	Facility		$983.77	$983.77	$983.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $554.44 / $983.77 / $1,021.99	Professional		$554.44	$983.77	$1,021.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $494.58 / $680.04 / $983.77	Facility		$494.58	$680.04	$983.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $585.54 / $975.95 / $1,291.50	Professional		$585.54	$975.95	$1,291.50
United Facility/Professional Professional Modifier Low / Median / High Price $882.30 / $1,055.28 / $1,217.70	Professional		$882.30	$1,055.28	$1,217.70