Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $341.92 / $489.54 / $3,183.30	Professional		$341.92	$489.54	$3,183.30
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 $577.33 / $635.05 / $835.50	Professional		$577.33	$635.05	$835.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $577.33 / $577.33 / $577.33	Facility		$577.33	$577.33	$577.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $367.72 / $577.33 / $885.75	Professional		$367.72	$577.33	$885.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $288.14 / $463.12 / $697.14	Facility		$288.14	$463.12	$697.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $436.06 / $666.54 / $1,040.19	Professional		$436.06	$666.54	$1,040.19
United Facility/Professional Professional Modifier Low / Median / High Price $711.11 / $847.28 / $968.33	Professional		$711.11	$847.28	$968.33