Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.77 / $706.56 / $1,892.25	Professional		$150.77	$706.56	$1,892.25
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 $208.22 / $208.22 / $593.10	Professional		$208.22	$208.22	$593.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.22 / $208.22 / $208.22	Facility		$208.22	$208.22	$208.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.22 / $219.41 / $593.10	Professional		$208.22	$219.41	$593.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $127.79 / $458.25 / $510.43	Facility		$127.79	$458.25	$510.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $140.19 / $361.16 / $603.36	Professional		$140.19	$361.16	$603.36
United Facility/Professional Professional Modifier Low / Median / High Price $451.19 / $582.32 / $1,043.40	Professional		$451.19	$582.32	$1,043.40