Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.03 / $291.00 / $495.20	Professional		$216.03	$291.00	$495.20
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
BCBS Facility/Professional Professional Modifier Low / Median / High Price $306.58 / $324.63 / $435.84	Professional		$306.58	$324.63	$435.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $360.70 / $360.70 / $360.70	Facility		$360.70	$360.70	$360.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.59 / $360.70 / $689.24	Professional		$229.59	$360.70	$689.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $210.35 / $310.70 / $555.34	Facility		$210.35	$310.70	$555.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $292.44 / $484.26 / $779.17	Professional		$292.44	$484.26	$779.17
United Facility/Professional Professional Modifier Low / Median / High Price $404.67 / $499.38 / $740.46	Professional		$404.67	$499.38	$740.46