Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.06 / $769.31 / $1,103.00	Professional		$137.06	$769.31	$1,103.00
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
Cigna Facility/Professional Facility Modifier Low / Median / High Price $235.03 / $235.03 / $235.03	Facility		$235.03	$235.03	$235.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $235.03 / $235.03 / $1,473.29	Professional		$235.03	$235.03	$1,473.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $115.98 / $235.03 / $868.89	Facility		$115.98	$235.03	$868.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $152.47 / $914.88 / $1,572.31	Professional		$152.47	$914.88	$1,572.31
United Facility/Professional Professional Modifier Low / Median / High Price $1,483.57 / $1,711.81 / $2,656.59	Professional		$1,483.57	$1,711.81	$2,656.59