Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.37 / $385.79 / $1,427.12	Professional		$185.37	$385.79	$1,427.12
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 $281.30 / $309.43 / $445.35	Professional		$281.30	$309.43	$445.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.30 / $281.30 / $281.30	Facility		$281.30	$281.30	$281.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.40 / $281.30 / $457.45	Professional		$165.40	$281.30	$457.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $140.75 / $230.90 / $348.82	Facility		$140.75	$230.90	$348.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $215.75 / $337.92 / $528.00	Professional		$215.75	$337.92	$528.00
United Facility/Professional Professional Modifier Low / Median / High Price $378.74 / $436.25 / $514.15	Professional		$378.74	$436.25	$514.15