Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $330.25 / $501.12 / $4,680.00	Professional		$330.25	$501.12	$4,680.00
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 $579.96 / $637.95 / $863.89	Professional		$579.96	$637.95	$863.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $579.96 / $579.96 / $579.96	Facility		$579.96	$579.96	$579.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $350.77 / $579.96 / $921.89	Professional		$350.77	$579.96	$921.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $289.72 / $454.37 / $726.33	Facility		$289.72	$454.37	$726.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $446.07 / $669.69 / $1,084.88	Professional		$446.07	$669.69	$1,084.88
United Facility/Professional Professional Modifier Low / Median / High Price $679.32 / $883.67 / $1,009.91	Professional		$679.32	$883.67	$1,009.91