Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $595.64 / $2,805.73 / $2,805.73	Professional		$595.64	$2,805.73	$2,805.73
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 $852.32 / $852.32 / $852.32	Facility		$852.32	$852.32	$852.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $567.99 / $852.32 / $900.35	Professional		$567.99	$852.32	$900.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $417.68 / $908.70 / $998.72	Facility		$417.68	$908.70	$998.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $519.22 / $778.91 / $1,123.50	Professional		$519.22	$778.91	$1,123.50
United Facility/Professional Facility Modifier Low / Median / High Price $659.52 / $659.52 / $6,486.14	Facility		$659.52	$659.52	$6,486.14
United Facility/Professional Professional Modifier Low / Median / High Price $712.98 / $894.71 / $1,495.73	Professional		$712.98	$894.71	$1,495.73