Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $748.80 / $748.80 / $2,102.00	Facility		$748.80	$748.80	$2,102.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.50 / $379.92 / $1,348.80	Professional		$78.50	$379.92	$1,348.80
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 $128.30 / $128.30 / $592.04	Professional		$128.30	$128.30	$592.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.30 / $128.30 / $128.30	Facility		$128.30	$128.30	$128.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.80 / $128.30 / $592.04	Professional		$110.80	$128.30	$592.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.30 / $128.30 / $128.30	Facility		$128.30	$128.30	$128.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $86.22 / $365.39 / $728.15	Professional		$86.22	$365.39	$728.15
United Facility/Professional Professional Modifier Low / Median / High Price $571.21 / $682.80 / $1,071.14	Professional		$571.21	$682.80	$1,071.14