Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.13 / $630.16 / $1,064.18	Professional		$116.13	$630.16	$1,064.18
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 $180.88 / $180.88 / $299.70	Professional		$180.88	$180.88	$299.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.88 / $180.88 / $180.88	Facility		$180.88	$180.88	$180.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.88 / $223.49 / $359.09	Professional		$180.88	$223.49	$359.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $116.00 / $341.90 / $387.72	Facility		$116.00	$341.90	$387.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $115.67 / $196.63 / $354.01	Professional		$115.67	$196.63	$354.01
United Facility/Professional Professional Modifier Low / Median / High Price $268.26 / $336.64 / $520.76	Professional		$268.26	$336.64	$520.76