Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $383.87 / $551.55 / $1,043.08	Facility		$383.87	$551.55	$1,043.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.12 / $203.40 / $321.24	Professional		$130.12	$203.40	$321.24
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 $188.24 / $188.24 / $312.85	Professional		$188.24	$188.24	$312.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.24 / $188.24 / $188.24	Facility		$188.24	$188.24	$188.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.24 / $237.46 / $350.36	Professional		$188.24	$237.46	$350.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $116.59 / $367.25 / $401.01	Facility		$116.59	$367.25	$401.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $122.32 / $207.15 / $350.36	Professional		$122.32	$207.15	$350.36
United Facility/Professional Professional Modifier Low / Median / High Price $283.92 / $349.44 / $552.23	Professional		$283.92	$349.44	$552.23