Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.21 / $349.77 / $1,289.52	Professional		$165.21	$349.77	$1,289.52
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 $251.33 / $276.47 / $403.29	Professional		$251.33	$276.47	$403.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.33 / $251.33 / $251.33	Facility		$251.33	$251.33	$251.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.30 / $251.33 / $413.22	Professional		$149.30	$251.33	$413.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.53 / $209.25 / $312.88	Facility		$125.53	$209.25	$312.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $191.27 / $306.01 / $476.44	Professional		$191.27	$306.01	$476.44
United Facility/Professional Professional Modifier Low / Median / High Price $325.70 / $389.39 / $443.52	Professional		$325.70	$389.39	$443.52