Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.47 / $850.53 / $1,290.21	Professional		$144.47	$850.53	$1,290.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64,999.99 / $81,499.99 / $94,999.99	Facility		$64,999.99	$81,499.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.24 / $239.24 / $1,236.68	Professional		$239.24	$239.24	$1,236.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.24 / $239.24 / $239.24	Facility		$239.24	$239.24	$239.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.63 / $239.24 / $1,260.65	Professional		$186.63	$239.24	$1,260.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $239.24 / $1,587.95 / $1,729.89	Facility		$239.24	$1,587.95	$1,729.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $160.53 / $762.27 / $1,524.84	Professional		$160.53	$762.27	$1,524.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,159.49 / $1,480.20 / $2,243.11	Professional		$1,159.49	$1,480.20	$2,243.11