Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $403.66 / $403.66 / $763.48	Professional		$403.66	$403.66	$763.48
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 $741.90 / $741.90 / $741.90	Professional		$741.90	$741.90	$741.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.90 / $741.90 / $741.90	Facility		$741.90	$741.90	$741.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $447.84 / $741.90 / $741.90	Professional		$447.84	$741.90	$741.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $362.18 / $741.90 / $794.42	Facility		$362.18	$741.90	$794.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $456.14 / $684.27 / $987.00	Professional		$456.14	$684.27	$987.00
United Facility/Professional Professional Modifier Low / Median / High Price $596.90 / $736.60 / $1,313.50	Professional		$596.90	$736.60	$1,313.50