Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.79 / $1,037.53 / $1,037.53	Professional		$181.79	$1,037.53	$1,037.53
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 $294.97 / $294.97 / $294.97	Professional		$294.97	$294.97	$294.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $294.97 / $294.97 / $294.97	Facility		$294.97	$294.97	$294.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.77 / $294.97 / $341.05	Professional		$239.77	$294.97	$341.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $143.88 / $179.86 / $294.97	Facility		$143.88	$179.86	$294.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $187.95 / $281.95 / $406.70	Professional		$187.95	$281.95	$406.70
United Facility/Professional Professional Modifier Low / Median / High Price $277.95 / $345.61 / $527.26	Professional		$277.95	$345.61	$527.26