Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.34 / $1,042.51 / $3,032.00	Professional		$162.34	$1,042.51	$3,032.00
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 $307.58 / $307.58 / $2,920.29	Professional		$307.58	$307.58	$2,920.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $307.58 / $307.58 / $307.58	Facility		$307.58	$307.58	$307.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.33 / $307.58 / $2,920.29	Professional		$229.33	$307.58	$2,920.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $307.58 / $307.58 / $307.58	Facility		$307.58	$307.58	$307.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $205.74 / $1,815.85 / $3,626.29	Professional		$205.74	$1,815.85	$3,626.29
United Facility/Professional Professional Modifier Low / Median / High Price $2,821.32 / $3,522.85 / $5,334.45	Professional		$2,821.32	$3,522.85	$5,334.45