Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.20 / $463.08 / $1,508.99	Professional		$267.20	$463.08	$1,508.99
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 $453.77 / $453.77 / $681.96	Professional		$453.77	$453.77	$681.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $453.77 / $453.77 / $453.77	Facility		$453.77	$453.77	$453.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.52 / $453.77 / $735.65	Professional		$295.52	$453.77	$735.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $225.66 / $370.79 / $582.16	Facility		$225.66	$370.79	$582.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $357.10 / $526.87 / $863.50	Professional		$357.10	$526.87	$863.50
United Facility/Professional Professional Modifier Low / Median / High Price $548.30 / $703.37 / $854.00	Professional		$548.30	$703.37	$854.00