Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.47 / $293.56 / $1,058.09	Professional		$206.47	$293.56	$1,058.09
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 $310.22 / $801.00 / $982.19	Professional		$310.22	$801.00	$982.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.22 / $310.22 / $310.22	Facility		$310.22	$310.22	$310.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.85 / $445.61 / $1,139.50	Professional		$212.85	$445.61	$1,139.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $191.52 / $413.26 / $704.15	Facility		$191.52	$413.26	$704.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $279.20 / $630.17 / $1,618.62	Professional		$279.20	$630.17	$1,618.62
United Facility/Professional Facility Modifier Low / Median / High Price $732.17 / $732.17 / $3,793.98	Facility		$732.17	$732.17	$3,793.98
United Facility/Professional Professional Modifier Low / Median / High Price $451.24 / $1,046.63 / $1,308.29	Professional		$451.24	$1,046.63	$1,308.29