Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.45 / $314.33 / $835.36	Professional		$260.45	$314.33	$835.36
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 $439.04 / $439.04 / $439.04	Professional		$439.04	$439.04	$439.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $439.04 / $439.04 / $439.04	Facility		$439.04	$439.04	$439.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $284.43 / $439.04 / $818.65	Professional		$284.43	$439.04	$818.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $270.95 / $417.50 / $571.78	Facility		$270.95	$417.50	$571.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $291.27 / $448.08 / $746.65	Professional		$291.27	$448.08	$746.65
United Facility/Professional Professional Modifier Low / Median / High Price $409.99 / $484.51 / $591.86	Professional		$409.99	$484.51	$591.86