Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.28 / $375.30 / $1,404.16	Professional		$225.28	$375.30	$1,404.16
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 $422.74 / $465.02 / $652.52	Professional		$422.74	$465.02	$652.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $422.74 / $422.74 / $422.74	Facility		$422.74	$422.74	$422.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.02 / $422.74 / $685.60	Professional		$254.02	$422.74	$685.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $210.16 / $345.19 / $524.72	Facility		$210.16	$345.19	$524.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $326.22 / $495.36 / $828.10	Professional		$326.22	$495.36	$828.10
United Facility/Professional Facility Modifier Low / Median / High Price $503.12 / $503.12 / $6,489.22	Facility		$503.12	$503.12	$6,489.22
United Facility/Professional Professional Modifier Low / Median / High Price $564.91 / $674.80 / $780.77	Professional		$564.91	$674.80	$780.77