Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $469.26 / $520.35 / $2,271.00	Professional		$469.26	$520.35	$2,271.00
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
BCBS Facility/Professional Professional Modifier Low / Median / High Price $801.85 / $801.85 / $801.85	Professional		$801.85	$801.85	$801.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $801.85 / $801.85 / $801.85	Facility		$801.85	$801.85	$801.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $578.73 / $801.85 / $801.85	Professional		$578.73	$801.85	$801.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $801.85 / $997.75 / $1,020.22	Facility		$801.85	$997.75	$1,020.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $497.22 / $704.41 / $1,075.90	Professional		$497.22	$704.41	$1,075.90
United Facility/Professional Professional Modifier Low / Median / High Price $782.85 / $907.81 / $1,417.09	Professional		$782.85	$907.81	$1,417.09