Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $623.45 / $793.84 / $4,404.06	Professional		$623.45	$793.84	$4,404.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47,000.00 / $77,999.99 / $94,999.99	Facility		$47,000.00	$77,999.99	$94,999.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,065.27 / $1,065.27 / $1,065.27	Facility		$1,065.27	$1,065.27	$1,065.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $700.60 / $1,065.27 / $2,032.86	Professional		$700.60	$1,065.27	$2,032.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $655.59 / $903.47 / $1,523.69	Facility		$655.59	$903.47	$1,523.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $829.78 / $1,383.05 / $2,202.14	Professional		$829.78	$1,383.05	$2,202.14
United Facility/Professional Professional Modifier Low / Median / High Price $1,118.58 / $1,374.08 / $1,717.86	Professional		$1,118.58	$1,374.08	$1,717.86