Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.42 / $391.00 / $511.75	Facility		$258.42	$391.00	$511.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.67 / $209.71 / $576.85	Professional		$90.67	$209.71	$576.85
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 $166.15 / $166.15 / $552.62	Professional		$166.15	$166.15	$552.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.15 / $166.15 / $166.15	Facility		$166.15	$166.15	$166.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.15 / $167.62 / $552.62	Professional		$166.15	$167.62	$552.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.93 / $401.05 / $450.97	Facility		$102.93	$401.05	$450.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.01 / $337.64 / $574.79	Professional		$109.01	$337.64	$574.79
United Facility/Professional Professional Modifier Low / Median / High Price $394.89 / $568.75 / $984.20	Professional		$394.89	$568.75	$984.20