Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.62 / $304.99 / $1,373.48	Professional		$246.62	$304.99	$1,373.48
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 $369.11 / $406.02 / $412.23	Professional		$369.11	$406.02	$412.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $369.11 / $369.11 / $369.11	Facility		$369.11	$369.11	$369.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.91 / $350.40 / $481.31	Professional		$217.91	$350.40	$481.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $183.33 / $255.36 / $397.21	Facility		$183.33	$255.36	$397.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $270.24 / $415.72 / $585.91	Professional		$270.24	$415.72	$585.91
United Facility/Professional Professional Modifier Low / Median / High Price $388.69 / $472.96 / $529.28	Professional		$388.69	$472.96	$529.28